| Tri Area Community Health At Ferrum | |
|
180 Ferrum Mountain Rd Ferrum VA 24088-2939 | |
| (540) 365-4469 | |
| (540) 365-4272 |
| Full Name | Tri Area Community Health At Ferrum |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 Ferrum Mountain Rd, Ferrum, Virginia |
| Authorized Official Name and Position | James Werth (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2763982292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri Area Community Health At Ferrum Po Box 9 Laurel Fork VA 24352-0009 Ph: (276) 398-2292 | Tri Area Community Health At Ferrum 180 Ferrum Mountain Rd Ferrum VA 24088-2939 Ph: (540) 365-4469 |
| NPI Number | 1053442848 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 01/03/2020 |
| Medicare PECOS PAC ID | 6204748296 |
|---|---|
| Medicare Enrollment ID | O20061120000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053442848 | NPI | - | NPPES |
| 1053442848 | Medicaid | VA | |
| 010355125 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ferrum College Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Ferrum Mountain Rd, Hank Norton Center, Ferrum, VA 24088 Phone: 540-365-4493 Fax: 972-367-3451 |