Organization
FRIES COMMUNITY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY S VANDYKE MD (OWNER)
(276) 744-3660
Entity
Organization
Contact information
Practice address
109 CARROL DR, FRIES, VA 24330-4532
(276) 744-3660
Mailing address
PO BOX 453, FRIES, VA 24330-0453
(276) 744-3660
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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