Organization
COMMUNITY HEALTH CLINIC, PC
Active
Parent organization
COMMUNITY HEALTH CLINIC, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CLINIC, PC
Authorized official
KIM BLANKENSHIP (DATA PROCESSING)
(276) 873-6300
Entity
Organization
Contact information
Practice address
5705 REDBUD HWY, HONAKER, VA 24260
(276) 873-6300
(276) 873-5859
Mailing address
PO BOX 1020, HONAKER, VA 24260-1020
(276) 873-6300
(276) 873-5859
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282424
BC/BS
VA
01
—
CK2829
RAILROAD MEDICARE
VA
Enumeration date
06/01/2007
Last updated
05/06/2009
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