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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: August 16, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South River Medical Clinic, LLC's NPI number?

The NPI number for South River Medical Clinic, LLC is 1922381789. It was assigned to this organization in the NPPES registry on September 27, 2011.

Where is South River Medical Clinic, LLC located?

South River Medical Clinic, LLC is located at 100 7th Street, Grottoes, VA 24441. The listed phone number is (540) 249-5901.

What is South River Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for South River Medical Clinic, LLC was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.