Organization
FAMILY HEALTH CARE ASSOCIATES OF SWVA.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A BAILEY (CHIEF EXECUTIVE OFFICER)
(276) 889-1297
Entity
Organization
Contact information
Practice address
143 W MAIN ST, LEBANON, VA 24266-4430
(276) 889-2394
(276) 889-4716
Mailing address
PO BOX 369, LEBANON, VA 24266-0369
(276) 889-2394
(276) 889-4716
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005600588
—
VA
Enumeration date
02/05/2007
Last updated
01/06/2011
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