Healthcare Provider Details
I. General information
NPI: 1932920634
Provider Name (Legal Business Name): FLOYD HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2024
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2076 DANIELS RUN RD NE
CHECK VA
24072-3084
US
IV. Provider business mailing address
2076 DANIELS RUN RD NE
CHECK VA
24072-3084
US
V. Phone/Fax
- Phone: 201-805-5637
- Fax:
- Phone: 201-805-5637
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
H.
JEDIDIAH
DUENSING
Title or Position: MEDICAL DIRECTOR/PRESIDENT
Credential: DO
Phone: 201-805-5637