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319 5th Ave 1st Floor Saltville VA 24370-3418 | |
(276) 496-4492 | |
(276) 496-4839 |
Full Name | |
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Speciality | Clinic/Center |
Location | 319 5th Ave, Saltville, Virginia |
Authorized Official Name and Position | Joseph Bryan Haynes (CEO) |
Authorized Official Contact | 2764964492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 729 Saltville VA 24370-0729 Ph: (276) 496-4492 | 319 5th Ave 1st Floor Saltville VA 24370-3418 Ph: (276) 496-4492 |
NPI Number | 1952750762 |
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Provider Enumeration Date | 06/13/2016 |
Last Update Date | 07/15/2021 |
Medicare PECOS PAC ID | 4880502707 |
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Medicare Enrollment ID | O20160810000565 |
Identifier | Type | State | Issuer |
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1952750762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southwest Virginia Community Health Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 156 Long Hollow Rd, Saltville, VA 24370 Phone: 276-496-4492 Fax: 276-695-4001 | |
Southwest Virginia Community Health Systems Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 5th Ave, Saltville, VA 24370 Phone: 276-496-4492 Fax: 276-496-4839 | |