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Contact Information

RENAISSANCE MEDICAL CARE
284 BLEVINS BOULEVARD
BRISTOL, VA24202
 Phone: 276-285-3911
 Fax: 276-285-3920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RENAISSANCE MEDICAL CARE

NPI # 1568977940
LBN Legal business name RENAISSANCE MEDICAL CARE
Authorized official GEORGE HALSTEAD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2017
Last updated 03/25/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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