NPIMap

Organization Active NPI

Merit Medical Rural Health Clinic-Richlands, Inc.

  • Rural Health Clinic/Center
  • Richlands, VA
National Provider Identifier
1689639833
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MERIT MEDICAL RURAL HEALTH CLINIC-RICHLANDS, INC.
Practice address
6719 Governor G.C. Peery Highway
Suite 3100
Richlands, VA 24641
Phone
(276) 964-9102
Fax
(276) 963-2865
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Muhammad R Javed, MDNPI 1679539373
Title
President
Phone
(276) 964-9102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

6719 Governor G.C. Peery Highway
Suite 3100
Richlands, VA 24641

Mailing address

PO Box 900
Richlands, VA 24641
Phone (276) 964-9102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100122000702 VA Part A Provider - Rural Health Clinic 8729120118 Practice locations: Richlands, VA

Rural health clinic certification: CCN 493844

Legal name
MERIT MEDICAL RURAL HEALTH CLINIC-RICHLANDS, INC.
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 12, 1997
Last certification
Jul 21, 2022
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Jun 10, 1997 in VA
Enrollment address
6719 Governor G. C. Peery Highway
Suite 3100
Richlands, VA 24641-0001

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6719 Governor Gc Peery Hwy
Ste 3100
Richlands, VA 24641
Phone (276) 964-9102

2951 W FRNT St Ste 3100
Ste 3100
Richlands, VA 24641
Phone (276) 964-9102

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kimberly Harris Individual W-2 Managing EmployeeAssistant Administrator Jun 4, 2009 40%
Muhammed R Javed Individual 5% Or Greater Indirect Ownership Interest Jun 10, 1997 100%
Corporate OfficerPresident Jun 10, 1997 100%
Corporate DirectorPresident Jun 10, 1997 100%
W-2 Managing EmployeePresident Jun 10, 1997 100%
Operational/Managerial ControlPresident Jun 10, 1997 100%
Muhammad R Javed MD PC Organization, Richlands, VA Corporation 5% Or Greater Direct Ownership Interest Jun 10, 1997 100%
Operational/Managerial Control Jun 10, 1997 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Muhammad Ramzan Javed, MD
    • Cardiovascular Disease Physician
    • Richlands, VA
    • NPI 1679539373

    5% Or Greater Indirect Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership
  • Muhammad R. Javed MD PC
    • Cardiovascular Disease Physician
    • Richlands, VA
    • NPI 1689767832

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1689639833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-9102",
            "fax_number": "276-963-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR G.C. PEERY HIGHWAY",
            "address_2": "SUITE 3100",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-9102",
            "fax_number": "276-963-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT MEDICAL RURAL HEALTH CLINIC-RICHLANDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-964-9102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.