Southwest Virginia Community Health Systems Incorporated | |
319 5th Ave Saltville VA 24370-3418 | |
(276) 496-4492 | |
(276) 496-4839 |
Full Name | Southwest Virginia Community Health Systems Incorporated |
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Speciality | Clinic/Center |
Location | 319 5th Ave, Saltville, Virginia |
Authorized Official Name and Position | Joseph Bryan Haynes (EXECUTIVE DIRECTOR) |
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 Incorporated Po Box 729 Saltville VA 24370-0729 Ph: (276) 496-4492 | Southwest Virginia Community Health Systems Incorporated 319 5th Ave Saltville VA 24370-3418 Ph: (276) 496-4492 |
NPI Number | 1811967169 |
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Provider Enumeration Date | 01/26/2006 |
Last Update Date | 11/17/2021 |
Medicare PECOS PAC ID | 4880502707 |
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Medicare Enrollment ID | O20031106000290 |
Identifier | Type | State | Issuer |
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1811967169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Roy R Andrews |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588635114 PECOS PAC ID: 0042290033 Enrollment ID: I20040721000758 |
Provider Name | Teresa Q Vance |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851317663 PECOS PAC ID: 4284640053 Enrollment ID: I20061214000521 |
Provider Name | Gayle C Bates |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184642100 PECOS PAC ID: 1355425349 Enrollment ID: I20080229000181 |
Provider Name | Marcy S Rosenbaum |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598936627 PECOS PAC ID: 3072683838 Enrollment ID: I20080605000178 |
Provider Name | Janet B Cuddy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891937413 PECOS PAC ID: 2860541893 Enrollment ID: I20090522000162 |
Provider Name | Pamela M Somervell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003846833 PECOS PAC ID: 8527133214 Enrollment ID: I20090729000962 |
Provider Name | Sally L Blackburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700857216 PECOS PAC ID: 8022153642 Enrollment ID: I20100308000506 |
Provider Name | Stephanie R Branham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285605824 PECOS PAC ID: 0749315414 Enrollment ID: I20100319000324 |
Provider Name | Vicente Ortiz |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1093964280 PECOS PAC ID: 7113050717 Enrollment ID: I20100803000885 |
Provider Name | Brandon Blevins |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639466840 PECOS PAC ID: 2860664778 Enrollment ID: I20111018000441 |
Provider Name | Emily C Stacy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427285188 PECOS PAC ID: 6204989049 Enrollment ID: I20120404000000 |
Provider Name | James T Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225355373 PECOS PAC ID: 6204097744 Enrollment ID: I20120411000022 |
Provider Name | Melissa Doane-williams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407169840 PECOS PAC ID: 7618132671 Enrollment ID: I20120626000476 |
Provider Name | Katie Newsome-deel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255752861 PECOS PAC ID: 4587896550 Enrollment ID: I20140407001748 |
Provider Name | Kristin O Bresowar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003074071 PECOS PAC ID: 6709051527 Enrollment ID: I20140925001613 |
Provider Name | Tara R Prater |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982010328 PECOS PAC ID: 4688894736 Enrollment ID: I20141013001764 |
Provider Name | Edgar Camargo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235112558 PECOS PAC ID: 3173560950 Enrollment ID: I20170213000904 |
Provider Name | Tara S Etter |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1598170383 PECOS PAC ID: 0840557310 Enrollment ID: I20171208001380 |
Provider Name | Andrea Annette Mcclintic |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275545253 PECOS PAC ID: 4587668132 Enrollment ID: I20190107000734 |
Provider Name | Melissa Shirlrae Franklin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629547278 PECOS PAC ID: 5294074969 Enrollment ID: I20190226000101 |
Provider Name | Kimberly J Patrick |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629612759 PECOS PAC ID: 7214365782 Enrollment ID: I20200316001506 |
Provider Name | Erik B Roberts |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1508271818 PECOS PAC ID: 5597193698 Enrollment ID: I20200324002789 |
Provider Name | Marie Hope Campbell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215549936 PECOS PAC ID: 3577983139 Enrollment ID: I20201020002323 |
Provider Name | Kimberly Danielle Harding |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649887878 PECOS PAC ID: 7618388059 Enrollment ID: I20201116002538 |
Provider Name | Kathryn Kellie Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447894308 PECOS PAC ID: 6800210618 Enrollment ID: I20201117001767 |
Provider Name | Kristin Micaela Vaughn Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851928527 PECOS PAC ID: 9638582729 Enrollment ID: I20210111000404 |
Provider Name | Jessica Evans |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629569934 PECOS PAC ID: 7618226838 Enrollment ID: I20210921003803 |
Provider Name | Tammy Jean Davidson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942773908 PECOS PAC ID: 3072902717 Enrollment ID: I20211117003081 |
Provider Name | Michael Tony Murray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164181269 PECOS PAC ID: 3577958800 Enrollment ID: I20220323000348 |
Provider Name | Chelsey N Cardwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962108464 PECOS PAC ID: 7214302397 Enrollment ID: I20230403000630 |
Provider Name | Cassandra Brooke Ellison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720767114 PECOS PAC ID: 4486009776 Enrollment ID: I20231005002840 |
Provider Name | Morgan Johnson Trogdon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750067401 PECOS PAC ID: 0840649521 Enrollment ID: I20231206002139 |
Provider Name | Kelsie Strong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700588936 PECOS PAC ID: 0143686139 Enrollment ID: I20231207000565 |
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 | |
Saltville Elementary School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 East Main Street, Saltville, VA 24370 Phone: 276-496-4492 Fax: 276-695-4001 | |
Southwest Virginia Regional Dental Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 5th Ave, Saltville, VA 24370 Phone: 276-496-4141 Fax: 276-496-4685 | |
Saltville Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 West Main Street, Saltville, VA 24370 Phone: 276-496-4433 Fax: 276-496-5923 | |
Southwest Virginia Community Health System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 5th Ave, 1st Floor, Saltville, VA 24370 Phone: 276-496-4492 Fax: 276-496-4839 |