| Southwest Women's Health Services Of Virginia, Pllc | |
|
127 Callahan Ave Appalachia VA 24216-1203 | |
| (276) 565-2425 | |
| (276) 565-2427 |
| Full Name | Southwest Women's Health Services Of Virginia, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 127 Callahan Ave, Appalachia, Virginia |
| Authorized Official Name and Position | Rodolfo Cartagena (OWNER) |
| Authorized Official Contact | 2765652425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Women's Health Services Of Virginia, Pllc 127 Callahan Ave Appalachia VA 24216-1203 Ph: (276) 565-2425 | Southwest Women's Health Services Of Virginia, Pllc 127 Callahan Ave Appalachia VA 24216-1203 Ph: (276) 565-2425 |
| NPI Number | 1417217480 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417217480 | NPI | - | NPPES |
| 1720016389 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101028013 (Virginia) | Primary |
St Charles Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 536 E Main St, Appalachia, VA 24216 Phone: 276-565-2760 Fax: 276-546-9706 | |
Appalachia Medical Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Callahan Ave, Appalachia, VA 24216 Phone: 276-565-2425 |