Organization Name: | HILLSVILLE VA CLINIC |
NPI Number: | 1871549832 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT) |
Mailing Address: | 701 W Stuart Dr Route 221 Hillsville |
State: | VA US |
Postal Code: | 243431534 |
Phone Number: | 5409822463 |
Fax Number: | 5409831096 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QV0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | VA |
Taxonomy Definition: |