| Orchard Creek Clinic | |
|
8494 S Scenic Hwy Bland VA 24315-5255 | |
| (276) 688-0500 | |
| (276) 688-4336 |
| Full Name | Orchard Creek Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 8494 S Scenic Hwy, Bland, Virginia |
| Authorized Official Name and Position | Gina Gail Goodman (CREDENTIALING & ENROLLMENT/OUTREACH) |
| Authorized Official Contact | 2766884331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Creek Clinic 12301 Grapefield Rd Bastian VA 24314-4547 Ph: (276) 688-4331 | Orchard Creek Clinic 8494 S Scenic Hwy Bland VA 24315-5255 Ph: (276) 688-0500 |
| NPI Number | 1396496063 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 2264326453 |
|---|---|
| Medicare Enrollment ID | O20220607001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396496063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mountain Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Seddon St, Bland, VA 24315 Phone: 276-688-4800 Fax: 276-688-4805 |