Organization
FREE CLINIC OF POWHATAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH REAM (EXECUTIVE DIRECTOR)
(804) 598-5637
Entity
Organization
Contact information
Practice address
2320 SKAGGS RD, POWHATAN, VA 23139-5713
(804) 598-5637
(804) 598-5636
Mailing address
2320 SKAGGS RD, POWHATAN, VA 23139-5713
(804) 598-5637
(804) 598-5636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1223D0001X
Public Health Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/16/2018
Last updated
07/14/2025
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