| Pulaski Radford Clinic | |
|
5826 Ruebush Rd Dublin VA 24084-2252 | |
| (540) 381-0820 | |
| Not Available |
| Full Name | Pulaski Radford Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5826 Ruebush Rd, Dublin, Virginia |
| Authorized Official Name and Position | Michelle Brauns (CEO) |
| Authorized Official Contact | 5403810820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulaski Radford Clinic 5826 Ruebush Rd Dublin VA 24084-2252 Ph: () - | Pulaski Radford Clinic 5826 Ruebush Rd Dublin VA 24084-2252 Ph: (540) 381-0820 |
| NPI Number | 1548706609 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 01/20/2017 |
| Medicare PECOS PAC ID | 5294963666 |
|---|---|
| Medicare Enrollment ID | O20170421001712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548706609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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