BODEN HEALTH NATIONAL GOUT CENTERS LLC NPI 1477144772

NPI Information

BODEN HEALTH NATIONAL GOUT CENTERS, LLC is a multi-specialty clinic center in Winchester, VA. BODEN HEALTH NATIONAL GOUT CENTERS, LLC NPI is 1477144772. The provider is registered as an organization entity type.

The provider's business location address is:

3038 VALLEY AVE
WINCHESTER, VA
ZIP 22601-637
Phone: (540) 508-0651
Fax: (540) 508-0841

The provider's authorized official is Jade Wilt .
The authorized official title is Billing Manager and has the following contact phone number (540) 508-0651.

The CLIA number assigned to this NPI record is 49D2133756 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2021 and was last updated on 1/29/2021.

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:

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