Provider Demographics
NPI:1881200764
Name:TOTAL HEALTHCARE
Entity Type:Organization
Organization Name:TOTAL HEALTHCARE
Other - Org Name:TOTAL HEALTHCARE, PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:DNP/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC
Authorized Official - Phone:276-647-5133
Mailing Address - Street 1:2202 DANIELS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24078-1370
Mailing Address - Country:US
Mailing Address - Phone:276-358-0055
Mailing Address - Fax:
Practice Address - Street 1:2202 DANIELS CREEK RD
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24078-1370
Practice Address - Country:US
Practice Address - Phone:276-358-0055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care