Salus Virtual Care Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SALUS VIRTUAL CARE CLINIC

Practice address

914 Memorial Dr
Waycross, GA 31501-2917

Phone

(912) 285-0902

Fax

(912) 285-0904

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Paula B Guy

Title

Ceo

Phone

(912) 285-0902

Specialties & licenses 1

Addresses

Other names 1

• My Virtual Care Clinic Doing business as

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1356710461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315020285",
            "telephone_number": "912-285-0902",
            "fax_number": "912-285-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 MEMORIAL DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315012917",
            "telephone_number": "912-285-0902",
            "fax_number": "912-285-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS VIRTUAL CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-285-0902"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Virtual Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Waycross, GA
• Providers in Waycross, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.