| Johnson Health Center | |
|
320 Federal St Lynchburg VA 24504-2306 | |
| (434) 947-5967 | |
| (434) 947-5255 |
| Full Name | Johnson Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 Federal St, Lynchburg, Virginia |
| Authorized Official Name and Position | Gary Campbell (CEO) |
| Authorized Official Contact | 4344552480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Health Center 134 Elon Rd Madison Heights VA 24572-2536 Ph: (434) 455-2480 | Johnson Health Center 320 Federal St Lynchburg VA 24504-2306 Ph: (434) 947-5967 |
| NPI Number | 1316926538 |
|---|---|
| Provider Enumeration Date | 01/16/2006 |
| Last Update Date | 04/07/2015 |
| Medicare PECOS PAC ID | 9537060413 |
|---|---|
| Medicare Enrollment ID | O20040114000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316926538 | NPI | - | NPPES |
| 010064988 | Medicaid | VA | |
| DC4704 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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