National Provider Identifier Database

WASHINGTON SQUARE CLINIC INC
Multi-Specialty

Contact Information

WASHINGTON SQUARE CLINIC INC
3150 CLINCH ST
RICHLANDS, VA  24641
Phone: 276-964-6711
Fax: 276-964-2240
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for WASHINGTON SQUARE CLINIC INC

NPI Number 1508943507
Legal business name
LBN		 WASHINGTON SQUARE CLINIC INC
Authorized official TUSHAR PATEL - (PRESIDENT WASHINGTON SQUARE CLINIC)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 05/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 006034951
  • VA Medicaid: 007330146
  • Other: 5545395 AETNA
  • Other: 049118 BLUE CROSS BLUE SHIELD
  • Other: 049120 BLUE CROSS BLUE SHIELD
  • Other: 068118 BLUE CROSS BLUE SHIELD
  • Other: 068119 BLUE CROSS BLUE SHIELD
  • Other: 137286 BLUE CROSS BLUE SHIELD
  • Other: 027996700 FEDERAL BLACK LUNG
  • Other: 001709083 MTN STATE BC
  • Other: CG0014 RAILROAD MEDICARE GROUP
  • Other: 1499361 UMWA
  • VA Other: 049115 BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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