Provider Demographics
NPI:1215232814
Name:EMERGICARE OF HARRISONBURG INC,
Entity type:Organization
Organization Name:EMERGICARE OF HARRISONBURG INC,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-432-9996
Mailing Address - Street 1:75 W LEE HWY
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2149
Mailing Address - Country:US
Mailing Address - Phone:540-351-0662
Mailing Address - Fax:540-351-0664
Practice Address - Street 1:75 W LEE HWY
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2149
Practice Address - Country:US
Practice Address - Phone:540-351-0662
Practice Address - Fax:540-351-0664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty