| Bhrhc Lebanon | |
|
344 Overlook Dr Ste 100 Lebanon VA 24266-3436 | |
| (276) 883-8042 | |
| (276) 883-8044 |
| Full Name | Bhrhc Lebanon |
|---|---|
| Speciality | Clinic/Center |
| Location | 344 Overlook Dr Ste 100, Lebanon, Virginia |
| Authorized Official Name and Position | Shane Edwin Hilton (EVP/CFO) |
| Authorized Official Contact | 4233023467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhrhc Lebanon 311 Princeton Rd Ste 1 Johnson City TN 37601-2026 Ph: (276) 883-8042 | Bhrhc Lebanon 344 Overlook Dr Ste 100 Lebanon VA 24266-3436 Ph: (276) 883-8042 |
| NPI Number | 1245772664 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 6002726718 |
|---|---|
| Medicare Enrollment ID | O20170810000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245772664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Msmg Rural Health Cliinic Lebanon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 Carroll St Suite 3, Dept Of Russell County Medical Center, Lebanon, VA 24266 Phone: 276-883-8340 Fax: 276-883-8341 | |
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