MEDICARE: SCHIFFERT HEALTH CENTER VIRGINIA TECH

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
1	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1326003948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHIFFERT HEALTH CENTER VIRGINIA TECH

Provider Business Mailing Address
First Line	:	SCHIFFERT HEALTH CENTER
Second Line	:	VIRGINIA TECH
City	:	BLACKSBURG
State	:	VA
Zip	:	24061-0140
Country	:	US
Telephone Number	:	540-231-5313
Fax Number	:	540-231-7473

Provider Business Practice Location Address
First Line	:	SCHIFFERT HEALTH CENTER
Second Line	:	VIRGINIA TECH
City	:	BLACKSBURG
State	:	VA
Zip	:	24061-0001
Country	:	US
Telephone Number	:	540-231-5313
Fax Number	:	540-231-7473

Authorized Official
Title or Position	:	ASSOCIATE DIRECTOR
Name	:	DR. PAUL HENRY FARRIER
Credential	:	MD
Telephone Number	:	540-231-5313

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	08/22/2020

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