| Rockbridge Area Free Clinic | |
|
2127 Magnolia Ave Buena Vista VA 24416-3111 | |
| (540) 464-8700 | |
| Not Available |
| Full Name | Rockbridge Area Free Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2127 Magnolia Ave, Buena Vista, Virginia |
| Authorized Official Name and Position | Valerie Suzanne Sheridan (CEO) |
| Authorized Official Contact | 5404648700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockbridge Area Free Clinic 25 Northridge Ln Lexington VA 24450-3399 Ph: (540) 464-8700 | Rockbridge Area Free Clinic 2127 Magnolia Ave Buena Vista VA 24416-3111 Ph: (540) 464-8700 |
| NPI Number | 1265175608 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Medicare PECOS PAC ID | 2860626231 |
|---|---|
| Medicare Enrollment ID | O20230222002330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265175608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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