Organization
WASHINGTON SQUARE RHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUSHAR G PATEL M.D. (PRESIDENT)
(276) 963-2231
Entity
Organization
Contact information
Practice address
3150 CLINCH ST, RICHLANDS, VA 24641-2172
(276) 964-6711
(276) 964-2240
Mailing address
3150 CLINCH ST, P.O. BOX 645, RICHLANDS, VA 24641-2172
(276) 964-6711
(276) 964-2240
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007610068
—
VA
01
—
016930
ANTHEM BCBS
VA
Enumeration date
08/14/2006
Last updated
06/10/2008
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