SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC NPI 1225169295

NPI Information

NPI: 1225169295
Provider Name: SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC

Doing Business As: TWIN CITY MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 49D2202956

Address:
2195 EUCLID AVENUE
SUITE 6
BRISTOL, VA
ZIP 24201
Phone: (276) 669-5179
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SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Bristol, VA. SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC NPI is 1225169295. The provider is registered as an organization entity type.
The provider Is Doing Business As Twin City Medical Center.

The provider's business location address is:

2195 EUCLID AVENUE
SUITE 6
BRISTOL, VA
ZIP 24201-655
Phone: (276) 669-5179
Fax: (276) 466-8870

The provider's authorized official is Joseph Bryan Haynes .
The authorized official title is Ceo and has the following contact phone number (276) 496-4492.

The CLIA number assigned to this NPI record is 49D2202956 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 6/7/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010062411	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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