| Highland Medical Center School Base Healthcare | |
|
240 Myers Moon Road Monterey VA 24465-2102 | |
| (540) 468-3300 | |
| (540) 468-3301 |
| Full Name | Highland Medical Center School Base Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 Myers Moon Road, Monterey, Virginia |
| Authorized Official Name and Position | Janice Roberson Ellis (CFO/HR) |
| Authorized Official Contact | 5404686402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Medical Center School Base Healthcare Po Box 490 Monterey VA 24465-0490 Ph: (540) 468-3300 | Highland Medical Center School Base Healthcare 240 Myers Moon Road Monterey VA 24465-2102 Ph: (540) 468-3300 |
| NPI Number | 1427376862 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 1759285075 |
|---|---|
| Medicare Enrollment ID | O20100610000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427376862 | NPI | - | NPPES |
| 007610548 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Highland Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Jackson River Road, Monterey, VA 24465 Phone: 540-468-6400 Fax: 540-468-3301 |