Provider Demographics
NPI:1689226854
Name:RUBIES HEALTH SERVICES
Entity Type:Organization
Organization Name:RUBIES HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY MEDICINE NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ALIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:804-420-8650
Mailing Address - Street 1:101 COWARDIN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2078
Mailing Address - Country:US
Mailing Address - Phone:804-420-8650
Mailing Address - Fax:
Practice Address - Street 1:101 COWARDIN AVE STE 101B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2078
Practice Address - Country:US
Practice Address - Phone:804-219-9646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty