Glen Edward Tate
TRI AREA COMMUNITY HEALTH


Address: 40 Wiley Dr, Ferrum, VA 24088-1100
Phone: 5403654469

Glen Edward Tate (NPI# 1720082555, PAC ID# 1254525421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1720082555
PAC ID by PECOS 1254525421
Professional Enrollment ID I20101101001532
Full Name Glen Edward Tate
Organization Legal Name TRI AREA COMMUNITY HEALTH
Address 40 Wiley Dr
Ferrum
VA 24088-1100
Phone Number 5403654469
Gender M
Medical School UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year 1981
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 6204748296
Number of Group Practice Members 17
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490115 TWIN COUNTY REGIONAL HOSPITAL
340003 NORTHERN HOSPITAL OF SURRY COUNTY
490042 CARILION NEW RIVER VALLEY MEDICAL CENTER

Other Locations

Address Phone Organization
40 Wiley Dr, Ferrum, VA 24088-1100 5403654469 TRI AREA COMMUNITY HEALTH
140 Christiansburg Nepike, Floyd, VA 24091-3742 5407459290 TRI AREA COMMUNITY HEALTH

Organization Information

Organization Legal Name TRI AREA COMMUNITY HEALTH
Physicians 14

Physicians with the same organization

Name Specialty Organization Address
Anna W Wright Psychologist, Clinical Tri Area Community Health 140 Christiansburg Nepike, Floyd, VA 24091-3742
Donna Gibson Nurse Practitioner Tri Area Community Health 14558 Danville Pike, Suite 9, Laurel Fork, VA 24352-3982
April Crystal Hazelwood Physician Assistant Tri Area Community Health 40 Wiley Dr, Ferrum, VA 24088-1100
Seyed H Saadat Family Medicine Tri Area Community Health 140 Christiansburg Nepike, Floyd, VA 24091-3742
Dinah P Perdue Nurse Practitioner Tri Area Community Health 14558 Danville Pike, Suite 9, Laurel Fork, VA 24352-3982
William R Bess Jr. Emergency Medicine Tri Area Community Health 14558 Danville Pike, Suite 9, Laurel Fork, VA 24352-3982
Beverly A Forry Physician Assistant Tri Area Community Health 40 Wiley Dr, Ferrum, VA 24088-1100
Amanda Elise Richardson Physician Assistant Tri Area Community Health 140 Christiansburg Nepike, Floyd, VA 24091-3742
Gabriel Lee Edmondson Family Medicine Tri Area Community Health 40 Wiley Dr, Ferrum, VA 24088-1100
Joshua M Bradley Psychologist, Clinical Tri Area Community Health 14558 Danville Pike, Suite 9, Laurel Fork, VA 24352-3982

Office Location

Street Address 40 WILEY DR
City FERRUM
State VA
Zip 24088-1100

Physicians in the same location

Name Specialty Organization Address
April Crystal Hazelwood Physician Assistant Tri Area Community Health 40 Wiley Dr, Ferrum, VA 24088-1100
Beverly A Forry Physician Assistant Tri Area Community Health 40 Wiley Dr, Ferrum, VA 24088-1100
Gabriel Lee Edmondson Family Medicine Tri Area Community Health 40 Wiley Dr, Ferrum, VA 24088-1100
Elizabeth A Hubbard Nurse Practitioner Tri Area Community Health 40 Wiley Dr, Ferrum, VA 24088-1100

Competitor

Search similar physicians

City FERRUM
Zip Code 24088
Specialty FAMILY MEDICINE
City + Specialty FERRUM + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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