Organization
RUSSELL COUNTY MEDICAL CENTER, INC
Active
Parent organization
RUSSELL COUNTY MEDICAL CENTER, INC
Other names
Riverside Community Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELL COUNTY MEDICAL CENTER, INC
Authorized official
DAVID MILLER (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
HIGHWAY 58, 1 RIVERSIDE DRIVE, RIVERSIDE SHOPPING CENTER, ST PAUL, VA 24283
(276) 762-2300
Mailing address
PO BOX 3600, LEBANON, VA 24266-0200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H1892
VA
Other
Enumeration date
03/10/2006
Last updated
11/27/2007
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