Dickenson After Hours Clinic, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DICKENSON AFTER HOURS CLINIC, INC

Practice address

5607 Dickenson Hwy
Clintwood, VA 24228-7009

Phone

(276) 926-4601

Fax

(276) 926-4602

NPI assigned

Sep 10, 2013

Last updated

Jan 15, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rimon Ibrahim, MD

Title

Administrator

Phone

(276) 926-4601

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1174958110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2224",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242282224",
            "telephone_number": "276-926-4601",
            "fax_number": "276-926-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 DICKENSON HWY",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242287009",
            "telephone_number": "276-926-4601",
            "fax_number": "276-926-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKENSON AFTER HOURS CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "RIMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-926-4601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie A Davis, APRN
• David J. Deel, PHARM.D.
• Eliza Hope Deel
• Patrick Deel, PHARM.D
• Bernard P. Dhas, P.T.
• Dickenson Community Hospital, Inc (Dickenson Community Hospital Psychiatric Unit)
• Dickenson Community Hospital, Inc.
• Dickenson Community Hospital, Inc.
• Dickenson Community Hospital, Inc. (Dickenson Swing Bed Unit)
• Dickenson Community Hospital, Inc. (Dma Behavioral Health Green Oak)

• Primary Care Clinic/Center in Clintwood, VA
• Providers in Clintwood, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.