| Cvhs King William | |
|
11814 King William Rd Aylett VA 23009-4103 | |
| (804) 769-3022 | |
| (804) 769-1253 |
| Full Name | Cvhs King William |
|---|---|
| Speciality | Clinic/Center |
| Location | 11814 King William Rd, Aylett, Virginia |
| Authorized Official Name and Position | Charles Allbaugh (CFO) |
| Authorized Official Contact | 4345814073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cvhs King William Po Box 220 New Canton VA 23123-0220 Ph: (434) 581-4073 | Cvhs King William 11814 King William Rd Aylett VA 23009-4103 Ph: (804) 769-3022 |
| NPI Number | 1972631661 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 12/16/2019 |
| Medicare PECOS PAC ID | 0345158432 |
|---|---|
| Medicare Enrollment ID | O20030107000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972631661 | NPI | - | NPPES |
| 007602774 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Riverside King William Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4917 Richmond Tappahannock Hwy, Suite 1-b, Aylett, VA 23009 Phone: 804-769-1245 Fax: 804-769-1342 | |
Aylett Family Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7864 Richmond Tappahannock Hwy, Aylett, VA 23009 Phone: 804-769-2015 |