| Organization Name: | NCH RESIDENCY CLINIC |
| NPI Number: | 1922182286 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANE STURGILL (PRACTICE MANAGER, CPSC) |
| Mailing Address: | 716 Spring Ave Ne Wise Professional Office Bldg Wise |
| State: | VA US |
| Postal Code: | 242935702 |
| Phone Number: | 2763283394 |
| Fax Number: | 2763283396 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 08/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |