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NPI Code Detail

MEDICARE: TRI AREA COMMUNITY HEALTH

MEDICARE: TRI AREA COMMUNITY HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194908491
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI AREA COMMUNITY HEALTH
Provider Business Mailing Address
First Line : PO BOX 9
Second Line :
City : LAUREL FORK
State : VA
Zip : 24352-0009
Country : US
Telephone Number : 276-398-2292
Fax Number : 276-398-3331
Provider Business Practice Location Address
First Line : 140 CHRISTIANSBURG PIKE NE
Second Line :
City : FLOYD
State : VA
Zip : 24091-3742
Country : US
Telephone Number : 540-745-9290
Fax Number : 540-745-9293
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DEBRA SHELOR
Credential :
Telephone Number : 276-398-2854
Provider Enumeration Date : 12/10/2007
Last Update Date : 09/13/2024

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Directions to “TRI AREA COMMUNITY HEALTH ” Practice Location

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