Skyline Family Practice PC
Family Medicine in Front Royal, VA. Organization (NPI-2).
Details
- NPI
- 1104900513
- Entity type
- Organization (NPI-2)
- Legal business name
- Skyline Family Practice PC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
841 N Shenandoah AveFront Royal, VA 22630-3501
Phone 540-636-7000 · Fax 540-636-7029
Mailing address
841 N Shenandoah AveFront Royal, VA 22630-3501
Phone 540-636-7000 · Fax 540-636-7029
Authorized official
Patsy Ann Clark
Front Office Manager
5406367000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 49 Family Medicine Physician providers in Front Royal · All 518 providers in Front Royal
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