| Boydton Community Health Facility, Inc | |
|
1321 Jefferson Street Boydton VA 23917 | |
| (434) 738-6102 | |
| (434) 738-6982 |
| Full Name | Boydton Community Health Facility, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1321 Jefferson Street, Boydton, Virginia |
| Authorized Official Name and Position | Angela N Miller (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4347386102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boydton Community Health Facility, Inc Po Box 540 Boydton VA 23917-0540 Ph: (434) 738-6102 | Boydton Community Health Facility, Inc 1321 Jefferson Street Boydton VA 23917 Ph: (434) 738-6102 |
| NPI Number | 1194982595 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194982595 | NPI | - | NPPES |
| 007691092 | Medicaid | VA |
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