| Cvhs Charlotte | |
|
165 Legrande Avenue Charlotte Courthouse VA 23923 | |
| (434) 542-5560 | |
| (434) 542-5745 |
| Full Name | Cvhs Charlotte |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 Legrande Avenue, Charlotte Courthouse, Virginia |
| Authorized Official Name and Position | Charles Allbaugh (CFO) |
| Authorized Official Contact | 4345814073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cvhs Charlotte Po Box 220 New Canton VA 23123-0220 Ph: (434) 581-4073 | Cvhs Charlotte 165 Legrande Avenue Charlotte Courthouse VA 23923 Ph: (434) 542-5560 |
| NPI Number | 1891823498 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 12/16/2019 |
| Medicare PECOS PAC ID | 0345158432 |
|---|---|
| Medicare Enrollment ID | O20100813000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891823498 | NPI | - | NPPES |
| 007618174 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rhonda Barksdale Algeier, Md & Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 George Washington Road, Charlotte Courthouse, VA 23923 Phone: 434-542-5522 Fax: 434-542-4487 |