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Highway 58, 1 Riverside Drive Riverside Shopping Center St Paul VA 24283 | |
(276) 762-2300 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | Highway 58, 1 Riverside Drive, St Paul, Virginia |
Authorized Official Name and Position | David Miller (SENIOR VP, GROUP OPERATIONS) |
Authorized Official Contact | 8883739600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3600 Lebanon VA 24266-0200 Ph: () - | Highway 58, 1 Riverside Drive Riverside Shopping Center St Paul VA 24283 Ph: (276) 762-2300 |
NPI Number | 1184692600 |
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Provider Enumeration Date | 03/10/2006 |
Last Update Date | 11/27/2007 |
Identifier | Type | State | Issuer |
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1184692600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | H1892 (Virginia) | Primary |