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NPI Code Detail

MEDICARE: CENTRAL VIRGINIA HEALTH SERVICES INC

MEDICARE: CENTRAL VIRGINIA HEALTH SERVICES 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
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 : 1972631661
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL VIRGINIA HEALTH SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 220
Second Line :
City : NEW CANTON
State : VA
Zip : 23123-0220
Country : US
Telephone Number : 434-581-4073
Fax Number :
Provider Business Practice Location Address
First Line : 11814 KING WILLIAM RD
Second Line :
City : AYLETT
State : VA
Zip : 23009-4103
Country : US
Telephone Number : 804-769-3022
Fax Number : 804-769-1253
Authorized Official
Title or Position : CFO
Name : CHARLES ALLBAUGH
Credential :
Telephone Number : 434-581-4073
Provider Enumeration Date : 03/02/2007
Last Update Date : 12/16/2019

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Directions to “CENTRAL VIRGINIA HEALTH SERVICES INC ” Practice Location

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