CHARTER COLONY FAMILY PRACTICE
NPI 1336459171
Family Medicine in Midlothian, VA
- Organization
- Family Medicine
- CLIA Number: 49D1068315
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 05-07-2027
About CHARTER COLONY FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for Charter Colony Family Practice, a primary care provider established in Midlothian, Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1336459171 assigned on October 2010. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Charter Colony Family Practice. The authorized official of this NPI record is Stephan Quiriconi (Cfo)
- NPI
- 1336459171 Verify this NPI
- Provider Legal Name
- BON SECOURS ST. FRANCIS MEDICAL CENTER INC
- Other Organization Name
- CHARTER COLONY FAMILY PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 13700 ST FRANCIS BLVD STE 302 MIDLOTHIAN, VA 23114
- Location Phone
- (804) 423-5050
- Location Fax
- (804) 423-5048
- Mailing Address
- 8580 MAGELLAN PKWY RICHMOND, VA 23227
- Mailing Fax
- (866) 449-0896
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-14-2010
- Last Update Date
- 07-18-2019
- Code Navigator
A primary care provider (PCP) like Charter Colony Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- VA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C09633 | OTHER (01) | VA | GROUP PTAN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D1068315
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- May 08, 2025
- Certificate Expiration Date
- May 07, 2027
- Laboratory Director
- DAREN G. GLENN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Charter Colony Family Practice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336459171, enumerated as an "organization" on October 14, 2010.
The provider is located at 13700 ST FRANCIS BLVD STE 302 MIDLOTHIAN, VA 23114 and the phone number is (804) 423-5050.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
