RUSSELL COUNTY CLINIC CORP


Address: 640 Overlook Drive, Lebanon, VA 24266
Phone: 2768890201

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Lebanon Pediatrics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285650374 Russell County Clinic Corp Pediatrics 58 Carroll Street, Lebanon, VA 24266 2006-07-14

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Russell County Clinic Corp. 4000 Meridian Blvd, Franklin, Tennessee 37067

Office Location

Street Address 640 OVERLOOK DRIVE
City LEBANON
State VA
Zip Code 24266

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LEBANON
Zip Code 24266

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Dataset Information

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.

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