Southwest Virginia Community Health Systems Inc. | |
650 Long Crescent Dr Bristol VA 24201-3690 | |
(276) 496-4492 | |
Not Available |
Full Name | Southwest Virginia Community Health Systems Inc. |
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Speciality | Clinic/Center |
Location | 650 Long Crescent Dr, Bristol, 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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Southwest Virginia Community Health Systems Inc. Po Box 297 Meadowview VA 24361-0297 Ph: (276) 496-4492 | Southwest Virginia Community Health Systems Inc. 650 Long Crescent Dr Bristol VA 24201-3690 Ph: (276) 496-4492 |
NPI Number | 1073279170 |
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Provider Enumeration Date | 11/12/2021 |
Last Update Date | 11/12/2021 |
Medicare PECOS PAC ID | 4880502707 |
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Medicare Enrollment ID | O20220322002407 |
Identifier | Type | State | Issuer |
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1073279170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
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