RUSSELL COUNTY CLINIC CORP NPI 1285650374

NPI Information

  • NPI: 1285650374
  • Provider Name: RUSSELL COUNTY CLINIC CORP
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 58 CARROLL STREET
    LEBANON, VA
    ZIP 24266
  • Phone: (276) 883-8470

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NPI Details

RUSSELL COUNTY CLINIC CORP is a surgery in Lebanon, VA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. RUSSELL COUNTY CLINIC CORP NPI is 1285650374. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

58 CARROLL STREET
LEBANON, VA
ZIP 24266
Phone: (276) 883-8470
Fax: (276) 883-8475

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/9/2007.

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
1208000000XPediatricsNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208600000XSurgeryYes

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
1C07054MEDICARE PINVIRGINIA

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: 11/21/2025

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