RUSSELL COUNTY CLINIC CORP (NPI# 1003834441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003834441 |
Entity Type | Organization |
Organization Name | RUSSELL COUNTY CLINIC CORP |
Other Organization Name | LEBANON PEDIATRICS |
Practice Address |
640 Overlook Drive Lebanon VA 24266 |
Mailing Address |
Po Box 3600 Lebanon VA 24266-0200 |
Practice Telephone | 2768890201 |
Practice Fax Number | 2768890018 |
Mailing Telephone | 2768890201 |
Mailing Fax Number | 2768890018 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DAVID MILLER (GROUP VP) |
Authorized Official Telephone | 2868890201 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Lebanon Pediatrics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285650374 | Russell County Clinic Corp | Pediatrics | 58 Carroll Street, Lebanon, VA 24266 | 2006-07-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Russell County Clinic Corp. | 4000 Meridian Blvd, Franklin, Tennessee 37067 |
Street Address |
640 OVERLOOK DRIVE |
City | LEBANON |
State | VA |
Zip Code | 24266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
Find all providers in zip 24266 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336671064 | Mahoussi Nicole Aholoukpe | Pediatrics | 618 Cornwall Rd Ste 2, Lebanon, PA 17042-7089 | 2017-03-31 |
1124318563 | Vernon David Savell Jr. | Pediatrics | 832 Pebble Cove Rd, Lebanon, TN 37087-1004 | 2011-04-19 |
1952504250 | Otto Pediatrics | Pediatrics | 1570 Cornwall Road, Lebanon, PA 17042 | 2007-06-06 |
1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
1972687309 | Deborah Wen-yee Mark | Pediatrics | 115 Winwood Drive, Centennial Pediatrics Ste 105, Lebanon, TN 37087 | 2006-10-24 |
1578586939 | Gene P Otto IIi | Pediatrics | 1570 Cornwall Rd, Lebanon, PA 17042-7403 | 2006-07-26 |
1245276310 | John Fischer | Pediatrics | 1390 Route 22 W, Lebanon, NJ 08833 | 2006-06-20 |
1841234168 | Harinder Singh Grewal | Pediatrics | 330 Loretto Rd, Ste 700, Lebanon, KY 40033-1308 | 2006-06-16 |
1437105079 | Eric Yorke | Pediatrics | 1390 Us Highway 22, Lebanon, NJ 08833-2217 | 2006-05-25 |
1295783843 | Mita Patel | Pediatrics | 1608 N Lebanon St, Lebanon, IN 46052-1514 | 2006-05-05 |
Find all providers in LEBANON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.