Fuller-Roberts Clinic, Inc
LBN: Fuller-Roberts Clinic, Inc
Fuller-Roberts Clinic, Inc is an health care organization with primary practice located at 2212 Wilborn Ave , South Boston VA 24592-1630. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
Fuller-Roberts Clinic, Inc can be contacted via phone (434) 572-8921, or through Newton, Christy via phone (434) 572-8921.
Contact Information
Primary practice address
2212 Wilborn Ave
South Boston VA 24592-1630
Phone: (434) 572-8921
Fax: (434) 572-2063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1407891815 |
|---|---|
| LBN Legal business name | Fuller-Roberts Clinic, Inc |
| DBA Doing business as | |
| Authorized official | Newton, Christy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Aug 21st, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407891815 | NPPES |
| Virginia | MEDICAID | 1407891815 |
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