Organization · Type 2 NPI
Virginia Department of Health
Multi-Specialty Clinic/Center · Clintwood, VA
NPI number
1083675474
Active
Practice location
334 Brush Creek Road
Clintwood, VA 24228-0768
Fax (276) 926-4426
Mailing address
PO Box 768
Clintwood, VA 24228-0768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1083675474
Virginia Department of Health's National Provider Identifier is 1083675474, issued on Mar 28, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Clintwood, VA. The record was last updated on Jun 10, 2011.