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NPI Code Detail

MEDICARE: HIGHLAND MEDICAL CENTER INC

MEDICARE: HIGHLAND MEDICAL CENTER INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy0201004680VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22155876OTHERPK

General Provider Information

NPI Number : 1215302708
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLAND MEDICAL CENTER INC
Provider Business Mailing Address
First Line : PO BOX 490
Second Line :
City : MONTEREY
State : VA
Zip : 24465-0490
Country : US
Telephone Number : 540-468-6421
Fax Number : 540-468-3318
Provider Business Practice Location Address
First Line : 120 JACKSON RIVER RD
Second Line :
City : MONTEREY
State : VA
Zip : 24465-2416
Country : US
Telephone Number : 540-468-6421
Fax Number : 540-468-3318
Authorized Official
Title or Position : CEO
Name : DEBRA PERDUE
Credential :
Telephone Number : 540-468-6421
Provider Enumeration Date : 12/09/2015
Last Update Date : 02/23/2022

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Directions to “HIGHLAND MEDICAL CENTER INC ” Practice Location

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