MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS NPI 1063608081

NPI Information

MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS is a federally qualified health center (fqhc) clinic center in Bassett, VA. MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS NPI is 1063608081. The provider is registered as an organization entity type.
The provider Is Doing Business As Bassett Family Practice.

The provider's business location address is:

324 T B STANLEY HWY
BASSETT, VA
ZIP 24055-108
Phone: (276) 629-1076
Fax: (276) 629-2695

The provider's authorized official is Gina Finocchiaro .
The authorized official title is Chief Financial Officer and has the following contact phone number (276) 403-5096.

The CLIA number assigned to this NPI record is 49D1079699 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/24/2007 and was last updated on 2/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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