Bradley Free Clinic

LBN: Bradley Free Clinic Of Roanoke Valley
Bradley Free Clinic is an health care organization with primary practice located at 1240 3Rd St Sw , Roanoke VA 24016-4612. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Bradley Free Clinic Of Roanoke Valley can be contacted via phone (540) 344-5156, or through Black, James via phone (540) 344-5156.

Contact Information

Primary practice address
1240 3Rd St Sw Roanoke VA 24016-4612
Phone: (540) 344-5156
Fax: (540) 777-0726
Website:
Map and Directions
Authorized official contact:
Name: Black, James
Phone: (540) 344-5156

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Suppliers / Pharmacy 333600000X 0201002648 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1902157712
LBN Legal business name Bradley Free Clinic Of Roanoke Valley
DBA Doing business as Bradley Free Clinic
Authorized official Black, James
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2012
Last updated Feb 3rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902157712 NPPES
Other 2164384 PK

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