| |
350 Spring Hill Ter Bristol VA 24201-1893 | |
(276) 496-4492 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 350 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 |
---|---|
Po Box 297 Meadowview VA 24361-0297 Ph: (276) 496-4492 | 350 Spring Hill Ter Bristol VA 24201-1893 Ph: (276) 496-4492 |
NPI Number | 1326697053 |
---|---|
Provider Enumeration Date | 09/05/2019 |
Last Update Date | 12/19/2024 |
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 |
Finch Family Medical Care. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Euclid Ave, Suite 2-3, Bristol, VA 24201 Phone: 276-466-0744 Fax: 276-466-1628 | |
Southwest Virginia Community Health Systems Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 Long Crescent Dr, Bristol, VA 24201 Phone: 276-496-4492 | |