Chester Medical Group, Llc

LBN: John Randolph Family Practice Llc
Chester Medical Group, Llc is an health care organization with primary practice located at 12900 Jefferson Davis Hwy , Chester VA 23831-5311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. John Randolph Family Practice Llc can be contacted via phone (804) 414-0300, or through Smith, Carol via phone (804) 237-7760.

Contact Information

Primary practice address
12900 Jefferson Davis Hwy Chester VA 23831-5311
Phone: (804) 414-0300
Fax: (804) 414-0319
Website:
Map and Directions
Authorized official contact:
Name: Smith, Carol
Phone: (804) 237-7760

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1659330843
LBN Legal business name John Randolph Family Practice Llc
DBA Doing business as Chester Medical Group, Llc
Authorized official Smith, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659330843 NPPES
Virginia Other DF58380 RR MEDICARE
Virginia MEDICAID 1659330843 RR MEDICARE

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