| Augusta Medical Group | |
|
2054 Sycamore Ave Buena Vista VA 24416-3124 | |
| (540) 261-1315 | |
| (540) 261-1314 |
| Full Name | Augusta Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2054 Sycamore Ave, Buena Vista, Virginia |
| Authorized Official Name and Position | Joseph Just (PRESIDENT) |
| Authorized Official Contact | 5402457318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Medical Group 2054 Sycamore Ave Buena Vista VA 24416-3124 Ph: () - | Augusta Medical Group 2054 Sycamore Ave Buena Vista VA 24416-3124 Ph: (540) 261-1315 |
| NPI Number | 1679156731 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 3678632544 |
|---|---|
| Medicare Enrollment ID | O20210520000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679156731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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