Central Virginia Health Services Inc | |
3101 Johnson Rd Petersburg VA 23805-2338 | |
(804) 861-4884 | |
Not Available |
Full Name | Central Virginia Health Services Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3101 Johnson Rd, Petersburg, Virginia |
Authorized Official Name and Position | Charles Allbaugh (CFO) |
Authorized Official Contact | 4345813271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Virginia Health Services Inc Po Box 220 New Canton VA 23123-0220 Ph: (434) 581-4073 | Central Virginia Health Services Inc 3101 Johnson Rd Petersburg VA 23805-2338 Ph: (804) 861-4884 |
NPI Number | 1801411202 |
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Provider Enumeration Date | 06/11/2020 |
Last Update Date | 06/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801411202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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