| Cvhs Charlottesville | |
|
1101 E Jefferson St Ste 1 Charlottesville VA 22902-5353 | |
| (434) 227-5624 | |
| (434) 970-7700 |
| Full Name | Cvhs Charlottesville |
|---|---|
| Speciality | Clinic/Center |
| Location | 1101 E Jefferson St Ste 1, Charlottesville, 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 Charlottesville Po Box 220 New Canton VA 23123-0220 Ph: (434) 581-3271 | Cvhs Charlottesville 1101 E Jefferson St Ste 1 Charlottesville VA 22902-5353 Ph: (434) 227-5624 |
| NPI Number | 1548632508 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 10/28/2020 |
| Medicare PECOS PAC ID | 0345158432 |
|---|---|
| Medicare Enrollment ID | O20151218001842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548632508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Virginia) | Primary |
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