Provider Demographics
NPI:1679790570
Name:TWIN COUNTY FAMILY CARE CENTERS INC
Entity Type:Organization
Organization Name:TWIN COUNTY FAMILY CARE CENTERS INC
Other - Org Name:PEDIATRIC FAMILY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHASTITY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCGRADY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:276-238-3566
Mailing Address - Street 1:106 DOCTORS PARK
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-2276
Mailing Address - Country:US
Mailing Address - Phone:276-236-8166
Mailing Address - Fax:276-236-5247
Practice Address - Street 1:106 DOCTORS PARK
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2276
Practice Address - Country:US
Practice Address - Phone:276-236-8166
Practice Address - Fax:276-236-5247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health