Charles City Medical Group Inc

LBN: Charles City Medical Group Inc
Charles City Medical Group Inc is an health care organization with primary practice located at 921 Hull St , Richmond VA 23224-4069. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Charles City Medical Group Inc can be contacted via phone (804) 230-4913, or through Joseph, Lerla G via phone (804) 230-4913.

Contact Information

Primary practice address
921 Hull St Richmond VA 23224-4069
Phone: (804) 230-4913
Fax: (804) 233-7034
Website:
Map and Directions
Authorized official contact:
Name: Joseph, Lerla G Doctor of Medicine (MD)
Phone: (804) 230-4913

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 0101052550 Virginia

Profile Details

NPI number 1043267693
LBN Legal business name Charles City Medical Group Inc
DBA Doing business as
Authorized official Joseph, Lerla G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Jul 9th, 2023 - about last year

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 1043267693 NPPES
Virginia MEDICAID 5620911

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