| Highland Medical Center Inc | |
|
120 Jackson River Road Monterey VA 24465 | |
| (540) 468-6400 | |
| (540) 468-3301 |
| Full Name | Highland Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Jackson River Road, Monterey, Virginia |
| Authorized Official Name and Position | Janice Roberson Ellis (CFO/HR) |
| Authorized Official Contact | 5404686402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Medical Center Inc Po Box 490 Monterey VA 24465-0490 Ph: (540) 468-6400 | Highland Medical Center Inc 120 Jackson River Road Monterey VA 24465 Ph: (540) 468-6400 |
| NPI Number | 1194784280 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 1759285075 |
|---|---|
| Medicare Enrollment ID | O20031119000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194784280 | NPI | - | NPPES |
| 007610548 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Highland Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 240 Myers Moon Road, Monterey, VA 24465 Phone: 540-468-3300 Fax: 540-468-3301 |