| Cvhs Peterson | |
|
800 Preston Ave Charlottesville VA 22903-4420 | |
| (434) 227-5624 | |
| Not Available |
| Full Name | Cvhs Peterson |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Preston Ave, Charlottesville, Virginia |
| Authorized Official Name and Position | Charles Allbaugh (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4345814073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cvhs Peterson Po Box 220 New Canton VA 23123-0220 Ph: (434) 581-3271 | Cvhs Peterson 800 Preston Ave Charlottesville VA 22903-4420 Ph: (434) 227-5624 |
| NPI Number | 1437662111 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 0345158432 |
|---|---|
| Medicare Enrollment ID | O20180118002859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437662111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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