Healthcare Provider Details

I. General information

NPI: 1689639833
Provider Name (Legal Business Name): MERIT MEDICAL RURAL HEALTH CLINIC-RICHLANDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6719 GOVERNOR G.C. PEERY HIGHWAY SUITE 3100
RICHLANDS VA
24641
US

IV. Provider business mailing address

PO BOX 900
RICHLANDS VA
24641
US

V. Phone/Fax

Practice location:
  • Phone: 276-964-9102
  • Fax: 276-963-2865
Mailing address:
  • Phone: 276-964-9102
  • Fax: 276-963-2865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD R JAVED
Title or Position: PRESIDENT
Credential: MD
Phone: 276-964-9102