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1532 Slate Creek Rd Ste 105 Grundy VA 24614-6975 | |
(276) 935-1760 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1532 Slate Creek Rd Ste 105, Grundy, Virginia |
Authorized Official Name and Position | Kimetha Lea Boyd (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2769351111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1535 Slate Creek Rd Grundy VA 24614-6974 Ph: (276) 935-1000 | 1532 Slate Creek Rd Ste 105 Grundy VA 24614-6975 Ph: (276) 935-1760 |
NPI Number | 1740873009 |
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Provider Enumeration Date | 02/18/2021 |
Last Update Date | 03/10/2021 |
Medicare PECOS PAC ID | 4688581663 |
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Medicare Enrollment ID | O20210928002375 |
Identifier | Type | State | Issuer |
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1740873009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Buchanan General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28567 Riverside Drive, Grundy, VA 24614 Phone: 276-935-1167 Fax: 276-935-1219 | |
Grundy Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 Slate Creek Road, Ste 203, Grundy, VA 24614 Phone: 276-935-4858 | |
Family Care Center Of Buchanan County, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1109 Plaza Dr Ste 1, East Grundy Plaza, Grundy, VA 24614 Phone: 276-935-2677 Fax: 276-935-5775 | |
Buchanan Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rt 5, Bgh Prof Bldg Suite 101, Grundy, VA 24614 Phone: 276-935-2080 Fax: 276-935-2082 | |
Commonwealth Internal Medicine And Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 Slate Creek Rd Ste 106, Box 173, Grundy, VA 24614 Phone: 276-935-1592 |