| Organization Name: | MARTINSVILLE URGENT CARE LLC |
| NPI Number: | 1134275522 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETTY BAPTIST WALSH (MANAGER) |
| Mailing Address: | 1044 E Church St Martinsville |
| State: | VA US |
| Postal Code: | 241123232 |
| Phone Number: | 2766340010 |
| Fax Number: | 2766320120 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 09/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 0101224431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |