Organization
STONY CREEK COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY J ELDER (EXECUTIVE DIRECTOR)
(434) 246-3501
Entity
Organization
Contact information
Practice address
12454 HARTLEY ST, STONY CREEK, VA 23882-3302
(434) 246-6100
(434) 246-6614
Mailing address
12454 HARTLEY ST, STONY CREEK, VA 23882-3302
(434) 246-6100
(434) 246-6614
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007636407
—
VA
Enumeration date
02/06/2006
Last updated
05/08/2020
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