Organization Name: | MERIT MEDICAL RURAL HEALTH CLINIC-HONAKER, INC. |
NPI Number: | 1831154095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUHAMMAD R JAVED (PRESIDENT) |
Mailing Address: | 5296 Redbud Highway Ball Professional Building Honaker |
State: | VA US |
Postal Code: | 24260 |
Phone Number: | 2768736825 |
Fax Number: | 2768734355 |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 12/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |