# BUCHANAN HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154485779
- **Authorized official:** MR. AVRIL RAY RATLIFF (PRESIDENT)
- **Authorized official phone:** (276) 935-2080

## Contact information

- **Practice address:** RT 5, BGH PROF BLDG SUITE 101, GRUNDY, VA 24614
- **Practice address phone:** (276) 935-2080
- **Practice address fax:** (276) 935-2082
- **Mailing address:** PO BOX 1217, GRUNDY, VA 24614
- **Mailing address phone:** (276) 935-2080
- **Mailing address fax:** (276) 935-2082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810003028 | — | WV |