Organization · Type 2 NPI

Virginia Department of Health

Multi-Specialty Clinic/Center · Grundy, VA

NPI number 1811958200 Active

Practice location

1051 Rosebud Rd
Grundy, VA 24614-0618

Fax (276) 935-4537

Mailing address

PO Box 618
Grundy, VA 24614-0618

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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About NPI 1811958200

Virginia Department of Health's National Provider Identifier is 1811958200, issued on Mar 28, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Grundy, VA. The record was last updated on Jun 10, 2011.