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Mountain Region Family Medicine, Pc

Mountain Region Family Medicine, Pc is a health care provider in Gate City, VA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 390 Kane St, Gate City, VA 24251-3407, US
Practice Location Phone276-386-3411
Practice Location Fax276-286-2492
Legal Business NameMOUNTAIN REGION FAMILY MEDICINE, PC
NPI ?1740292366
Entity TypeOrganization
Enumeration Date ? Aug 12, 2006
Last Update Date ? Feb 16, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mountain Region Family Medicine, Pc

SpecialtySpecializationLicenseLicense State
Family Medicine

legacy-id-icon Legacy Provider IDs of Mountain Region Family Medicine, Pc

Provider IdIssuer StateIssuer TypeIssuer
037070OtherANTHEM BLUE CROSS
CA3908OtherRAILROAD MEDICARE
4401019TennesseeMedicaid

official-icon Authorized Official of Mountain Region Family Medicine, Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Mountain Region Family Medicine, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Michelle Y Repass
Authorized Official Title/PositionADMINISTRATIVE ASSISTANT
Authorized Official Phone Number276-386-3411