Provider Demographics
NPI:1467450437
Name:RICHFIELD WELLNESS AND REHAB, INC.
Entity Type:Organization
Organization Name:RICHFIELD WELLNESS AND REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-380-6526
Mailing Address - Street 1:3737 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-2072
Mailing Address - Country:US
Mailing Address - Phone:540-380-2770
Mailing Address - Fax:540-380-2802
Practice Address - Street 1:3737 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-2072
Practice Address - Country:US
Practice Address - Phone:540-380-2770
Practice Address - Fax:540-380-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA496703Medicare ID - Type UnspecifiedPROVIDER NUMBER