| Southwest Virginia Community Health Systems Inc | |
|
200 Spring Hill Ter Bristol VA 24201-1800 | |
| (276) 496-4492 | |
| Not Available |
| Full Name | Southwest Virginia Community Health Systems Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Spring Hill Ter, 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 |
|---|---|
| Southwest Virginia Community Health Systems Inc Po Box 297 Meadowview VA 24361-0297 Ph: (276) 496-4492 | Southwest Virginia Community Health Systems Inc 200 Spring Hill Ter Bristol VA 24201-1800 Ph: (276) 496-4492 |
| NPI Number | 1326697053 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 06/07/2021 |
| Medicare PECOS PAC ID | 4880502707 |
|---|---|
| Medicare Enrollment ID | O20191003001587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326697053 | 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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