=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891273967
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOR MOST HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2018
-----------------------------------------------------
Last Update Date | 08/01/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3018 EDGEWOOD AVE
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23222-2504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-299-0541
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3018 EDGEWOOD AVE
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23222-2504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-299-0541
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. PATRICK JOHNSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-299-0541
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1300X
-----------------------------------------------------
Taxonomy Name | Multi-Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------