Organization
PATRICK HOSPITAL, LLC
Active
Other names
Patrick Hospital Express Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE F WILKINS (ADMINISTRATOR)
(276) 694-8678
Entity
Organization
Contact information
Practice address
18688 JEB STUART HWY, STUART, VA 24171-1559
(276) 694-8678
(276) 694-8655
Mailing address
18688 JEB STUART HWY, STUART, VA 24171-1559
(276) 694-8678
(276) 694-8655
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164676763
—
VA
Enumeration date
11/10/2008
Last updated
03/26/2009
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