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Contact Information

ROCKY RUN FAMILY MEDICINE INC
5645 STONE RD
CENTREVILLE, VA20120-1618
 Phone: 703-266-2442
 Fax: 703-266-7158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for ROCKY RUN FAMILY MEDICINE INC

NPI Number 1043234552
LBN Legal business name ROCKY RUN FAMILY MEDICINE INC
Authorized official LAURIE MARKIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2006
Last updated 03/11/2025 - More than a year ago
Identifiers
VA License # 144870
VA Medicaid 5615691
VA Medicaid 5615712
VA Medicaid 5615747
VA Other 383306 ANTHEM BC/BS
VA Other 383307 ANTHEM BC/BS
VA Other 383308 ANTHEM BC/BS
VA Other 8094-0001 CAREFIRST
VA Other 8094-0002 CAREFIRST
VA Other 8094-0004 CAREFIRST
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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