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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