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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