SOUTH RIVER MEDICAL CLINIC, LLC – NPI #1922381789
Clinic/Center

SOUTH RIVER MEDICAL CLINIC, LLC is an AHC clinic located in GROTTOES, VA. NPPES has assigned the NPI number 1922381789 to SOUTH RIVER MEDICAL CLINIC, LLC on September 27, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 14 years ago on Aug 03, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH RIVER MEDICAL CLINIC, LLC below.

NPI Profile for
SOUTH RIVER MEDICAL CLINIC, LLC

NPI Number
1922381789
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH RIVER MEDICAL CLINIC, LLC
Primary location
100 7TH STREET
GROTTOES, VA 24441
Phone: (540) 249-5901 Fax: (540) 249-5902
Mailing address
PO BOX 489
GROTTOES, VA 24441-0489
Phone: Fax:
Organization Subpart
No
Authorized Official
ANNA WILLIAMS
OFFICE MANAGER
Phone: (540) 249-5901
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.