# BODEN HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Virginia Integrative Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255851531
- **Authorized official:** JORDAN L TRAN MD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (540) 508-0651

## Contact information

- **Practice address:** 3038 VALLEY AVE, WINCHESTER, VA 22601-2637
- **Practice address phone:** (540) 508-0651
- **Practice address fax:** (540) 585-4081
- **Mailing address:** 3038 VALLEY AVE, WINCHESTER, VA 22601-2637
- **Mailing address phone:** (540) 508-0651
- **Mailing address fax:** (540) 585-4081

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 01/18/2021