Provider Demographics
NPI:1003832999
Name:HARRISONBURG FAMILY PRACTICE ASSOCIATES PC
Entity Type:Organization
Organization Name:HARRISONBURG FAMILY PRACTICE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIDIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-433-9151
Mailing Address - Street 1:1831 RESERVOIR ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8743
Mailing Address - Country:US
Mailing Address - Phone:540-433-9151
Mailing Address - Fax:540-433-0547
Practice Address - Street 1:1831 RESERVOIR ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8743
Practice Address - Country:US
Practice Address - Phone:540-433-9151
Practice Address - Fax:540-433-0547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA221884OtherSOUTHERN HEALTH GROUP #
VA002381OtherANTHEM GROUP #
VA002381OtherANTHEM GROUP #
VA221884OtherSOUTHERN HEALTH GROUP #