Tri-area Community Health At Grayson Highlands | |
6436 Troutdale Hwy Troutdale VA 24378-2023 | |
(276) 398-2292 | |
(276) 398-3331 |
Full Name | Tri-area Community Health At Grayson Highlands |
---|---|
Speciality | Clinic/Center |
Location | 6436 Troutdale Hwy, Troutdale, Virginia |
Authorized Official Name and Position | James Werth (CEO) |
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 Grayson Highlands Po Box 9 Laurel Fork VA 24352-0009 Ph: (276) 398-2292 | Tri-area Community Health At Grayson Highlands 6436 Troutdale Hwy Troutdale VA 24378-2023 Ph: (276) 398-2292 |
NPI Number | 1376142281 |
---|---|
Provider Enumeration Date | 10/21/2020 |
Last Update Date | 01/04/2021 |
Medicare PECOS PAC ID | 6204748296 |
---|---|
Medicare Enrollment ID | O20201231001608 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376142281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Grayson Highlands Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6436 Troutdale Hwy, Troutdale, VA 24378 Phone: 276-783-1827 Fax: 276-783-2879 |