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Contact Information

RUSSELL COUNTY CLINIC CORP
640 OVERLOOK DRIVE
LEBANON, VA24266
 Phone: 276-889-0201
 Fax: 276-889-0018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RUSSELL COUNTY CLINIC CORP

NPI Number 1003834441
LBN Legal business name RUSSELL COUNTY CLINIC CORP
Authorized official DAVID MILLER - (GROUP VP)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2006
Last updated 08/22/2020 - About 6 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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