Arh Pennington Gap Clinic | |
121 Stacy Dr Pennington Gap VA 24277-1929 | |
(276) 546-1182 | |
(276) 546-2497 |
Full Name | Arh Pennington Gap Clinic |
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Speciality | Clinic/Center |
Location | 121 Stacy Dr, Pennington Gap, Virginia |
Authorized Official Name and Position | Hollie Harris (PRESIDENT AND CEO) |
Authorized Official Contact | 8592262511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arh Pennington Gap Clinic 121 Stacy Dr Pennington Gap VA 24277-1929 Ph: (276) 546-1182 | Arh Pennington Gap Clinic 121 Stacy Dr Pennington Gap VA 24277-1929 Ph: (276) 546-1182 |
NPI Number | 1891154019 |
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Provider Enumeration Date | 02/16/2016 |
Last Update Date | 09/20/2024 |
Medicare PECOS PAC ID | 0840107835 |
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Medicare Enrollment ID | O20160408001811 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891154019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Arh Pennington Gap Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 Stacy Drive, Pennington Gap, VA 24277 Phone: 276-546-1182 Fax: 606-439-6987 | |
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