Organization
BOYDTON COMMUNITY HEALTH FACILITY, INC.
Active
Organization
BOYDTON COMMUNITY HEALTH FACILITY, INC.
Active
Other names
Healthcare on the Square
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA N MILLER (DIRECTOR OF OPERATIONS)
(434) 738-6102
Entity
Organization
Contact information
Practice address
380 WASHINGTON STREET, BOYDTON, VA 23917-0540
(434) 738-6102
(434) 738-6982
Mailing address
P.O. BOX 540, BOYDTON, VA 23917-0540
(434) 738-6102
(434) 738-6982
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007691092
—
VA
Enumeration date
01/05/2006
Last updated
07/30/2009
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