Organization
TRI AREA COMMUNITY HEALTH
Active
Other names
Tri Area Community Health at Ferrum
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WERTH JR. (EXECUTIVE DIRECTOR)
(276) 398-2292
Entity
Organization
Contact information
Practice address
180 FERRUM MOUNTAIN RD, FERRUM, VA 24088-2939
(540) 365-4469
(540) 365-4272
Mailing address
PO BOX 9, LAUREL FORK, VA 24352-0009
(276) 398-2292
(276) 398-3331
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010355125
—
VA
05
—
1053442848
—
VA
Enumeration date
03/07/2007
Last updated
01/03/2020
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