| |
4038 Thomas Nelson Hwy Arrington VA 22922-2302 | |
(434) 263-4000 | |
(434) 263-4160 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4038 Thomas Nelson Hwy, Arrington, Virginia |
Authorized Official Name and Position | Peggy Whitehead (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4342634000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4038 Thomas Nelson Hwy Arrington VA 22922-2302 Ph: (434) 263-4000 | 4038 Thomas Nelson Hwy Arrington VA 22922-2302 Ph: (434) 263-4000 |
NPI Number | 1336311323 |
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Provider Enumeration Date | 03/31/2008 |
Last Update Date | 03/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336311323 | NPI | - | NPPES |
007600178 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |