Gloucester Mathews Care Clinic

LBN: Gloucester Mathews Care Clinic
Gloucester Mathews Care Clinic is an health care organization with primary practice located at 6031 Industrial Dr , Gloucester VA 23061-3767. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Gloucester Mathews Care Clinic can be contacted via phone (804) 642-9515, or through Danaceau, Kerry via phone (804) 642-9515.

Contact Information

Primary practice address
6031 Industrial Dr Gloucester VA 23061-3767
Phone: (804) 642-9515
Fax: (804) 684-3691
Website:
Map and Directions
Authorized official contact:
Name: Danaceau, Kerry
Phone: (804) 642-9515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 0201003539 Virginia

Profile Details

NPI number 1295740835
LBN Legal business name Gloucester Mathews Care Clinic
DBA Doing business as Gloucester Mathews Care Clinic
Authorized official Danaceau, Kerry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 26th, 2018 - about 6 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 1295740835 NPPES
Other 2104104 PK

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