FAMILY MEDICAL PRACTITIONERS


Address: 1147 Independence Blvd, Virignia Beach, VA 23455
Phone: 7574601207

FAMILY MEDICAL PRACTITIONERS (NPI# 1245462746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245462746
Entity Type Organization
Organization Name FAMILY MEDICAL PRACTITIONERS
Other Organization Name FMP BEHAVIORAL HEALTH
Practice Address 1147 Independence Blvd
Virignia Beach
VA 23455
Practice Telephone 7574601207
Practice Fax Number 7574602136
Mailing Telephone 7574601207
Mailing Fax Number 7574602136
Enumeration Date 2009-08-17
Last Update Date 2009-08-17
Authorized Official Name STEPHANIE A EUBANK (PRACTICE COORDINATOR/VP)
Authorized Official Telephone 7574601207
Authorized Official Credential M.A. DAPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
FMP Behavioral Health Other Name - Individual/Organization

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities FAMILY MEDICAL PRACTITIONERS INC. 1147 Independence Blvd, Virginia Beach, Virginia 23455

Office Location

Street Address 1147 INDEPENDENCE BLVD
City VIRIGNIA BEACH
State VA
Zip Code 23455

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City VIRIGNIA BEACH
Zip Code 23455

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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