Provider Demographics
NPI:1770055410
Name:CARING HEARTS FREE CLINIC OF PATRICK COUNTY
Entity type:Organization
Organization Name:CARING HEARTS FREE CLINIC OF PATRICK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTICIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:276-694-3410
Mailing Address - Street 1:835 WOODLAND DR STE 101
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-1586
Mailing Address - Country:US
Mailing Address - Phone:276-694-3410
Mailing Address - Fax:
Practice Address - Street 1:835 WOODLAND DR STE 101
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171-1586
Practice Address - Country:US
Practice Address - Phone:276-694-3410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service