Organization
CENTRAL VIRGINIA HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ALLBAUGH (CFO)
(434) 581-4073
Entity
Organization
Contact information
Practice address
25892 N JAMES MADISON HWY, NEW CANTON, VA 23123-2234
(434) 581-3271
Mailing address
PO BOX 220, NEW CANTON, VA 23123-0220
(434) 581-4073
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007639406
—
VA
Enumeration date
01/11/2006
Last updated
12/16/2019
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