Organization Name: | RAPIDAN MEDICAL CENTER |
NPI Number: | 1427016419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH SCOTT JOHNSON (PRESIDENT, MEDICAL DIRECTOR) |
Mailing Address: | 4444 Germanna Hwy Suite 310 Locust Grove |
State: | VA US |
Postal Code: | 225082035 |
Phone Number: | 5409726222 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 0101058684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |