Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1326595646 |
| LBN Legal business name | ESSENTIA HEALTH VIRGINIA, LLC |
| Authorized official | SAMUEL STONE - (COO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/02/2016 |
| Last updated | 05/10/2022 - About 4 years ago |
| Identifiers | n/a |
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