Provider Demographics
NPI:1801043997
Name:EUREKA MEDICAL CLINIC LTD
Entity type:Organization
Organization Name:EUREKA MEDICAL CLINIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HESKITH
Authorized Official - Middle Name:
Authorized Official - Last Name:VANTERPOOL
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS, MRCP
Authorized Official - Phone:1284-494-2346
Mailing Address - Street 1:GENEVA PLACE
Mailing Address - Street 2:P.O. BOX 802
Mailing Address - City:ROAD TOWN
Mailing Address - State:TORTOLA
Mailing Address - Zip Code:VG1110
Mailing Address - Country:VG
Mailing Address - Phone:1284-494-2346
Mailing Address - Fax:1284-494-6755
Practice Address - Street 1:GENEVA PLACE
Practice Address - Street 2:ROAD TOWN
Practice Address - City:ROAD TOWN
Practice Address - State:TORTOLA
Practice Address - Zip Code:VG1110
Practice Address - Country:VG
Practice Address - Phone:1284-494-2346
Practice Address - Fax:1284-494-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty