| Montgomery Clinic | |
|
215 Roanoke St Christiansburg VA 24073-3025 | |
| (540) 381-0820 | |
| (540) 382-3391 |
| Full Name | Montgomery Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 Roanoke St, Christiansburg, Virginia |
| Authorized Official Name and Position | Michelle Brauns (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5403810820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Clinic 215 Roanoke St Christiansburg VA 24073-3025 Ph: (540) 381-0820 | Montgomery Clinic 215 Roanoke St Christiansburg VA 24073-3025 Ph: (540) 381-0820 |
| NPI Number | 1043648611 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 10/17/2013 |
| Medicare PECOS PAC ID | 5294963666 |
|---|---|
| Medicare Enrollment ID | O20140109001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043648611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Virginia) | Primary |
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