Organization
HORIZON HEALTH SERVICES INC
Active
Other names
Waverly Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL EBERSOLE (ADMINISTRATOR)
(757) 859-6161
Entity
Organization
Contact information
Practice address
344 WEST MAIN STREET, WAVERLY, VA 23890
(804) 834-8871
(804) 834-8875
Mailing address
344 WEST MAIN STREET, WAVERLY, VA 23890
(804) 834-8871
(804) 834-8875
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007600429
—
VA
Enumeration date
04/19/2007
Last updated
08/24/2007
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