OrganizationActive
County Med, LLC
NPI 1407580483 · Primary Care Clinic/Center · Blackstone, VA
Provider details
- NPI number
- 1407580483
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shantel Latta, Owner(434) 294-3825
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
103 E Broad St
Blackstone, VA 23824-1815
Phone: (434) 264-3221
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 635
Blackstone, VA 23824-0635
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.