| Organization Name: | FREE MEDICAL CLINIC OF MARTINSVILLE & HENRY COUNTY |
| NPI Number: | 1891990099 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA A. JACKMAN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 315 Hospital Dr Suite 203 Martinsville |
| State: | VA US |
| Postal Code: | 241121945 |
| Phone Number: | 2766380787 |
| Fax Number: | 2766382430 |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |