Organization · Type 2 NPI

Virginia Department of Health

Multi-Specialty Clinic/Center · Lebanon, VA

NPI number 1649231044 Active

Practice location

133 Highland Dr Ste A
Lebanon, VA 24266-7209

Call (276) 889-7621 Map

Fax (276) 889-7695

Mailing address

PO Box 2347
Lebanon, VA 24266-2347

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
State or Local Public Health Clinic/Center	261QP0905X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Russell County Dental ClinicDental Clinic/Center Lebanon, VA NPI 1265544332

Other multi-specialty clinic/center providers in Lebanon

Abingdon Physician PartnersMulti-Specialty Clinic/Center Lebanon, VA NPI 1659602860

See all in Lebanon →

NPI record

NPI: 1649231044
Entity type: Organization (Type 2)
Issued: Mar 28, 2006
Last updated: Sep 14, 2022
Status: Active

Other names

<unavail>
Russell County Health Department · doing business as
Russell County Health Department · doing business as

Authorized official

Reisa Sloce
COO
(276) 889-7621

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649231044

Virginia Department of Health's National Provider Identifier is 1649231044, issued on Mar 28, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Lebanon, VA. The record was last updated on Sep 14, 2022.