Organization
JOHNSON HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CAMPBELL (CEO)
(434) 455-2480
Entity
Organization
Contact information
Practice address
320 FEDERAL ST, LYNCHBURG, VA 24504-2306
(434) 947-5967
(434) 947-5255
Mailing address
134 ELON RD, MADISON HEIGHTS, VA 24572-2536
(434) 455-2480
(434) 455-2487
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010064988
—
VA
01
—
DC4704
RAILROAD MEDICARE
VA
Enumeration date
01/16/2006
Last updated
04/07/2015
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