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NPI Code Detail

MEDICARE: RAPIDAN MEDICAL CENTER

MEDICARE: RAPIDAN MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center0101058684VA

General Provider Information

NPI Number : 1427016419
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAPIDAN MEDICAL CENTER
Provider Business Mailing Address
First Line : 4444 GERMANNA HWY
Second Line : SUITE 310
City : LOCUST GROVE
State : VA
Zip : 22508-2035
Country : US
Telephone Number : 540-972-6222
Fax Number :
Provider Business Practice Location Address
First Line : 4444 GERMANNA HWY
Second Line : SUITE 310
City : LOCUST GROVE
State : VA
Zip : 22508-2035
Country : US
Telephone Number : 540-972-6222
Fax Number :
Authorized Official
Title or Position : PRESIDENT, MEDICAL DIRECTOR
Name : DR. KENNETH SCOTT JOHNSON
Credential : M.D.
Telephone Number : 540-972-6222
Provider Enumeration Date : 05/02/2006
Last Update Date : 08/22/2020

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Directions to “RAPIDAN MEDICAL CENTER ” Practice Location

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