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JOHNSON HEALTH CENTER NPI 1821212481


NPI Information

NPI: 1821212481
Provider Name: JOHNSON HEALTH CENTER

Doing Business As: LYNCHBURG WOMEN'S AND PEDIATRIC HEALTH SERVICES

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 49D1066302

Address:
2402 ATHERHOLT RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 200-6401
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JOHNSON HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Lynchburg, VA. JOHNSON HEALTH CENTER NPI is 1821212481. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lynchburg Women's And Pediatric Health Services.

The provider's business location address is:

2402 ATHERHOLT RD
LYNCHBURG, VA
ZIP 24501-148
Phone: (434) 200-6401
Fax: (434) 528-2639

The provider's authorized official is Gary Campbell .
The authorized official title is Ceo and has the following contact phone number (434) 455-2480.

The CLIA number assigned to this NPI record is 49D1066302 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/21/2022.


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
1207VX0000XObstetrics & GynecologyObstetricsNo
2208000000XPediatricsNo
3261QF0400XClinic/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
1010256704MEDICAIDVIRGINIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.