# CHILDREN'S MEDICAL CENTER, LTD.

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

## Provider details

- **NPI number:** 1801010616
- **Authorized official:** DR. JOHN B. LAFAVE M. D. (PRESIDENT)
- **Authorized official phone:** (276) 632-9714

## Contact information

- **Practice address:** 15 CLEVELAND AVE, SUITE 14, MARTINSVILLE, VA 24112-2937
- **Practice address phone:** (276) 632-9714
- **Practice address fax:** (276) 632-9714
- **Mailing address:** 15 CLEVELAND AVE, SUITE 14, MARTINSVILLE, VA 24112-2937
- **Mailing address phone:** (276) 632-9714
- **Mailing address fax:** (276) 632-9714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | VA | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020