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TRI AREA COMMUNITY HEALTH NPI 1346227584


NPI Information

NPI: 1346227584
Provider Name: TRI AREA COMMUNITY HEALTH

Doing Business As: TRI AREA COMMUNITY HEALTH AT LAUREL FORK

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
14558 DANVILLE PIKE
LAUREL FORK, VA
ZIP 24352
Phone: (276) 398-2292
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TRI AREA COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Laurel Fork, VA. TRI AREA COMMUNITY HEALTH NPI is 1346227584. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri Area Community Health At Laurel Fork.

The provider's business location address is:

14558 DANVILLE PIKE
LAUREL FORK, VA
ZIP 24352-758
Phone: (276) 398-2292
Fax: (276) 398-3331

The provider's authorized official is Debra S. Shelor .
The authorized official title is Executive Director and has the following contact phone number (276) 398-2292.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 9/9/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007608942MEDICAIDVIRGINIA
2C01125MEDICARE PINVIRGINIA
3491827MEDICARE OSCAR/CERTIFICATIONVIRGINIA

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

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