EMDEE CLINICA PLLC NPI 1154462117

NPI Information

NPI: 1154462117
Provider Name: EMDEE CLINICA, PLLC

Doing Business As: EMDEE CLINICA

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
23164 KESTREL DR
BRISTOL, VA
ZIP 24202
Phone: (423) 341-3040
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EMDEE CLINICA, PLLC is a primary care clinic center in Bristol, VA. EMDEE CLINICA, PLLC NPI is 1154462117. The provider is registered as an organization entity type.
The provider Is Doing Business As Emdee Clinica.

The provider's business location address is:

23164 KESTREL DR
BRISTOL, VA
ZIP 24202
Phone: (423) 341-3040

The provider's authorized official is Debra Lynn Harman .
The authorized official title is Founder/physician and has the following contact phone number (423) 341-3040.

The enumeration date for this NPI number is 2/10/2007 and was last updated on 7/23/2018.

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	261QP2300X	Clinic/Center	Primary Care	37264	TENNESSEE	No
2	261QP2300X	Clinic/Center	Primary Care	0101052898	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	386590	OTHER	VIRGINIA	ANTHEM, BC/BS OF VIRGINIA
2	P00042666	OTHER	VIRGINIA	RAILROAD MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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