Organization
BOYDTON COMMUNITY HEALTH FACILITY INC
Active
Other names
Halifax Family Health Center Physician Pavillion
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA N MILLER (EXECUTIVE DIRECTOR)
(434) 738-6102
Entity
Organization
Contact information
Practice address
2232 WILBORN AVE, SOUTH BOSTON, VA 24592-1662
(434) 572-4378
(434) 572-4730
Mailing address
2232 WILBORN AVE, SOUTH BOSTON, VA 24592-1662
(434) 572-4378
(434) 572-4730
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007691092
—
VA
Enumeration date
04/16/2007
Last updated
07/24/2009
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