- Practice location
- 1006 E Main St, 1006, Pulaski, VA 24301-5218
- Phone
- 540-980-1125
- Fax
- 540-908-1127
- Last updated
- November 21, 2023
Pulaski Medical, LLC is a healthcare organization based in Pulaski, VA. Pulaski Medical, LLC practices in Pulaski, VA. The NPI Number for Pulaski Medical, LLC is 1558607481. The current practice location address for Pulaski Medical, LLC is 1006 E Main St, 1006, Pulaski, VA 24301-5218 and can be reached out via phone at 540-980-1125 and via fax at 540-908-1127.
Provider Profile Details
- NPI Number
- 1558607481
- Provider Name
- Pulaski Medical, LLC
- Provider Entity Type
- Organization
- Address
- 1006 E Main St, 1006, Pulaski, VA 24301-5218
- Phone Number
- 540-980-1125
- Fax Number
- 540-908-1127
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Robyn Tanis · Executive Director Of Contract Mgmt · 856-533-8762
- Provider Enumeration Date
- December 21, 2012
- Last Update Date
- November 21, 2023
- Certification Date
- November 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1006 E Main St
1006
Pulaski, VA 24301-5218 - City
- Pulaski
- State
- Virginia
- Zip
- 24301-5218
- Phone Number
- 540-980-1125
- Fax Number
- 540-908-1127
Provider Business Mailing Address Details
- Address
- 1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202 - City
- Mount Laurel
- State
- NJ
- Zip
- 08054-2202
- Phone Number
- 856-439-6111
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Clinic/Center, Recovery Care · 261QR0800X
- Taxonomy (3)
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Methadone Clinic providers near Pulaski, VA
View all Clinic/Center, Methadone Clinic providers in Pulaski →Frequently Asked Questions
What is the NPI number of Pulaski Medical, LLC?
The NPI number of Pulaski Medical, LLC is 1558607481. It was assigned on December 21, 2012 and is currently active in the NPPES registry.
What is the specialty of Pulaski Medical, LLC?
Pulaski Medical, LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X).
Where does Pulaski Medical, LLC practice?
The practice location is 1006 E Main St, 1006, Pulaski, VA 24301-5218. The office can be reached at 540-980-1125 (phone) or 540-908-1127 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558607481 directly on the NPPES registry website.