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SOUTH RIVER MEDICAL CLINIC, LLC
NPI 1922381789
Clinic/Center - Primary Care in Grottoes, VA

Active since September 27, 2011
100 7TH STREET, GROTTOES, VA 24441(540) 249-5901(540) 249-5902 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South River Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH RIVER MEDICAL CLINIC, LLC (NPI 1922381789) is a healthcare organization registered as a primary care in Grottoes, Virginia and active in the NPI registry since September 2011. The organization lists Anna Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922381789
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTH RIVER MEDICAL CLINIC, LLC
Location Address100 7TH STREETGrottoes, VA 24441
Mailing AddressPo Box 489Grottoes, VA 24441-0489
Phone(540) 249-5901
Fax(540) 249-5902
Organization SubpartNo
Authorized OfficialAnna WilliamsOffice Manager · (540) 249-5901
Enumeration DateSeptember 27, 2011
Last NPPES UpdateAugust 3, 2012
✔ NPI 1922381789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
100 7TH STREET, Grottoes, VA 24441
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY C KOOGLER FNP ONC
Nurse Practitioner
100 7TH STREET
GROTTOES, VA 24441
Rockingham County (540) 249-5901

Frequently Asked Questions

What is SOUTH RIVER MEDICAL CLINIC, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1922381789, enumerated as an "organization" on September 27, 2011.

Where is the provider located?

The provider is located at 100 7TH STREET GROTTOES, VA 24441 and the phone number is (540) 249-5901.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.