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Organization

TRI AREA COMMUNITY HEALTH

Active
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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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