# WINCHESTER MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WINCHESTER MEDICAL CENTER
- **Other names:** Valley Health Winchester Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467045922
- **Legal business name:** WINCHESTER MEDICAL CENTER
- **Authorized official:** RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (540) 536-0103

## Contact information

- **Practice address:** 160 MERCHANT ST STE 100, WINCHESTER, VA 22603-4772
- **Practice address phone:** (540) 536-5560
- **Practice address fax:** (540) 536-5561
- **Mailing address:** 220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
- **Mailing address phone:** (540) 536-5100
- **Mailing address fax:** (540) 536-0235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2021
- **Last updated:** 06/29/2021