Organization Name: | FARMVILLE URGENT CARE CENTER, INC |
NPI Number: | 1184059297 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHRIDHAR V BHAT (OWNER) |
Mailing Address: | 106 Midtown Ave Farmville |
State: | VA US |
Postal Code: | 239011773 |
Phone Number: | 4343925200 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2013 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | A310022-8 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |