Organization Name: | FREE CLINIC OF THE NEW RIVER VALLEY |
NPI Number: | 1083837405 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA S. RIDLEY (PHARMACY COORDINATOR) |
Mailing Address: | 215 Roanoke St Christiansburg |
State: | VA US |
Postal Code: | 240733025 |
Phone Number: | 5403810820 |
Fax Number: | 5403823391 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 0201003434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |