Provider Demographics
NPI:1972650620
Name:FAUQUIER URGENT CARE
Entity Type:Organization
Organization Name:FAUQUIER URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:W
Authorized Official - Last Name:PALUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,AAPS
Authorized Official - Phone:540-347-4757
Mailing Address - Street 1:75 W LEE HWY
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2149
Mailing Address - Country:US
Mailing Address - Phone:540-347-4757
Mailing Address - Fax:540-347-4271
Practice Address - Street 1:75 W LEE HWY
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2149
Practice Address - Country:US
Practice Address - Phone:540-347-4757
Practice Address - Fax:540-347-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044923261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA138097OtherANTHEM
VA138097OtherANTHEM
VA138097OtherANTHEM
VAC09143Medicare ID - Type Unspecified