Organization
ULTRA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY H TAYLOR (OWNER)
(276) 971-0783
Entity
Organization
Contact information
Practice address
1039 MAYBERRY CROSSING DR STE A&B, MONETA, VA 24121-6413
(540) 546-3744
Mailing address
PO BOX 489, POUNDING MILL, VA 24637-0489
(276) 385-1183
(276) 258-6492
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457891145
—
VA
Enumeration date
03/01/2017
Last updated
02/16/2024
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