Sentara Chase City Family Medicine

LBN: Dominion Health Medical Assoc
Sentara Chase City Family Medicine is an health care organization with primary practice located at 946 N. Main St , Chase City VA 23924. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Dominion Health Medical Assoc can be contacted via phone (434) 372-5141, or through Hazelwood, Cecil F via phone (434) 517-3515.

Contact Information

Primary practice address
946 N. Main St Chase City VA 23924
Phone: (434) 372-5141
Fax: (434) 517-3887
Website:
Map and Directions
Authorized official contact:
Name: Hazelwood, Cecil F
Phone: (434) 517-3515

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0101032102 Virginia

Profile Details

NPI number 1689772238
LBN Legal business name Dominion Health Medical Assoc
DBA Doing business as Sentara Chase City Family Medicine
Authorized official Hazelwood, Cecil F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 11th, 2015 - about 10 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 1689772238 NPPES
Virginia MEDICAID 007610114

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