Organization
VIRGINIA DEPARTMENT OF HEALTH
Active
Organization
VIRGINIA DEPARTMENT OF HEALTH
Active
Other names
Dickenson County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY WILLIS (BUSINESS MANAGER)
(276) 926-4979
Entity
Organization
Contact information
Practice address
334 BRUSH CREEK ROAD, CLINTWOOD, VA 24228-0768
(276) 926-4979
(276) 926-4426
Mailing address
PO BOX 768, CLINTWOOD, VA 24228-0768
(276) 926-4979
(276) 926-4426
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370009593
RAILROAD MEDICARE
VA
Enumeration date
03/28/2006
Last updated
06/10/2011
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