Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1376662486 |
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| LBN Legal business name | TWO RIVERS MEDICAL CLINIC, PA | ||||||||||||||||
| Authorized official | TONY EDMONDSON - (CLINIC ADMINISTRATOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 03/28/2007 | ||||||||||||||||
| Last updated | 04/12/2016 - About 10 years ago | ||||||||||||||||
| Identifiers |
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TWO RIVERS MEDICAL CLINIC, PA