Organization
SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC
Active
Organization
SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC
Active
Other names
Tazewell Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BRYAN HAYNES (CEO)
(276) 979-9899
Entity
Organization
Contact information
Practice address
386 BEN BOLT AVENUE, TAZEWELL, VA 24651
(276) 979-9899
(276) 979-9798
Mailing address
PO BOX 729, SALTVILLE, VA 24370-0729
(276) 979-9899
(276) 979-9798
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083745053
—
VA
05
—
3810008508
—
WV
Enumeration date
03/08/2007
Last updated
06/07/2021
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