Organization
BLAND COUNTY MEDICAL CLINIC, INC.
Active
Other names
Orchard Creek Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA GAIL GOODMAN (CREDENTIALING & ENROLLMENT/OUTREACH)
(276) 688-4331
Entity
Organization
Contact information
Practice address
8494 S SCENIC HWY, BLAND, VA 24315-5255
(276) 688-0500
(276) 688-4336
Mailing address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
(276) 688-4336
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
04/26/2023
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