Rivers Edge Family Medicine

LBN: Rivers Edge Family Medicine
Rivers Edge Family Medicine is an health care organization with primary practice located at 330 Winding River Lane , Charlottesville VA 22911-3551. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rivers Edge Family Medicine can be contacted via phone (434) 295-3705, or through Klecan, Ann Marie via phone (434) 295-3705.

Contact Information

Primary practice address
330 Winding River Lane Charlottesville VA 22911-3551
Phone: (434) 295-3705
Fax: (434) 295-3705
Website:
Map and Directions
Authorized official contact:
Name: Klecan, Ann Marie Doctor of Medicine (MD)
Phone: (434) 295-3705

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101054576 Virginia

Profile Details

NPI number 1013060359
LBN Legal business name Rivers Edge Family Medicine
DBA Doing business as
Authorized official Klecan, Ann Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Jun 2nd, 2009 - about 15 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 1013060359 NPPES
Virginia Other 187671 ANTHEM
Virginia Other 408456 ANTHEM
Virginia MEDICAID 010259231 ANTHEM

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