MARTINSVILLE URGENT CARE LLC NPI 1134275522

NPI Information

NPI: 1134275522
Provider Name: MARTINSVILLE URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 49D1064583

Address:
1044 E CHURCH ST
MARTINSVILLE, VA
ZIP 24112
Phone: (276) 634-0010
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MARTINSVILLE URGENT CARE LLC is an urgent care clinic center in Martinsville, VA. MARTINSVILLE URGENT CARE LLC NPI is 1134275522. The provider is registered as an organization entity type.

The provider's business location address is:

1044 E CHURCH ST
MARTINSVILLE, VA
ZIP 24112-232
Phone: (276) 634-0010
Fax: (276) 632-0120

The provider's authorized official is Betty Baptist Walsh .
The authorized official title is Manager and has the following contact phone number (276) 634-0010.

The CLIA number assigned to this NPI record is 49D1064583 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 9/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	0101224431	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5969180001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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