| Tazewell Community Health Center | |
|
386 Ben Bolt Avenue Tazewell VA 24651 | |
| (276) 979-9899 | |
| (276) 979-9798 |
| Full Name | Tazewell Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 386 Ben Bolt Avenue, Tazewell, Virginia |
| Authorized Official Name and Position | Joseph Bryan Haynes (CEO) |
| Authorized Official Contact | 2769799899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tazewell Community Health Center Po Box 729 Saltville VA 24370-0729 Ph: (276) 979-9899 | Tazewell Community Health Center 386 Ben Bolt Avenue Tazewell VA 24651 Ph: (276) 979-9899 |
| NPI Number | 1083745053 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 06/07/2021 |
| Medicare PECOS PAC ID | 4880502707 |
|---|---|
| Medicare Enrollment ID | O20061116000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083745053 | NPI | - | NPPES |
| 1083745053 | Medicaid | VA | |
| 3810008508 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
W. Eric Shrader Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 986 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-979-1323 Fax: 276-979-9123 | |
Carilion Tazewell Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8700 | |
Tazewell Family Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 E Fincastle Tpke, Tazewell, VA 24651 Phone: 276-385-0279 | |
Tazewell Family Physicans, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-2526 Fax: 276-988-0956 | |
Tazewell Family Healthecare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 E Fincastle St, Tazewell, VA 24651 Phone: 276-988-4400 Fax: 276-988-5600 | |
Carilion Clinic Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8850 |