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1160 E Lee Hwy Chilhowie VA 24319-4691 | |
| (276) 646-8966 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1160 E Lee Hwy, Chilhowie, 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 | 1160 E Lee Hwy Chilhowie VA 24319-4691 Ph: (276) 646-8966 |
| NPI Number | 1427817691 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 4880502707 |
|---|---|
| Medicare Enrollment ID | O20240507004102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427817691 | 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 |
Southwest Virginia Community Health Systems Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Lee Hwy, Chilhowie, VA 24319 Phone: 276-646-8220 | |
Family Care Of Chilhowie, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Chilhowie St, Chilhowie, VA 24319 Phone: 276-646-3241 Fax: 276-646-2592 | |