Healthcare Provider Details

I. General information

NPI: 1487681771
Provider Name (Legal Business Name): REGIONAL HEALTH RESOURCES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 CECIL D QUILLEN DR SUITE 101
DUFFIELD VA
24244-4085
US

IV. Provider business mailing address

373 CECIL D QUILLEN DR SUITE 101
DUFFIELD VA
24244-4085
US

V. Phone/Fax

Practice location:
  • Phone: 276-431-1638
  • Fax: 276-431-1639
Mailing address:
  • Phone: 276-431-1638
  • Fax: 276-431-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN MCKEE
Title or Position: CEO
Credential:
Phone: 423-765-2456