| Wythe County Physician Practices Llc | |
|
791 Fort Chiswell Rd Max Meadows VA 24360-4139 | |
| (276) 637-6641 | |
| (276) 637-6741 |
| Full Name | Wythe County Physician Practices Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 791 Fort Chiswell Rd, Max Meadows, Virginia |
| Authorized Official Name and Position | Terrance Dillon (ASST SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wythe County Physician Practices Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Wythe County Physician Practices Llc 791 Fort Chiswell Rd Max Meadows VA 24360-4139 Ph: (276) 637-6641 |
| NPI Number | 1831838283 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 06/02/2022 |
| Medicare PECOS PAC ID | 7517972789 |
|---|---|
| Medicare Enrollment ID | O20220912003806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831838283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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