| Rustburg Community Health Center | |
|
925 Village Hwy Rustburg VA 24588-4591 | |
| (434) 528-0005 | |
| (434) 528-0004 |
| Full Name | Rustburg Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 925 Village Hwy, Rustburg, Virginia |
| Authorized Official Name and Position | Gary Campbell (CEO) |
| Authorized Official Contact | 4344552480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rustburg Community Health Center 134 Elon Rd Madison Heights VA 24572-2536 Ph: (434) 455-2480 | Rustburg Community Health Center 925 Village Hwy Rustburg VA 24588-4591 Ph: (434) 528-0005 |
| NPI Number | 1881102655 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 01/29/2018 |
| Medicare PECOS PAC ID | 9537060413 |
|---|---|
| Medicare Enrollment ID | O20180328001539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881102655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rustburg Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-332-7367 Fax: 434-332-1757 |