Organization
VIRGINIA DEPARTMENT OF HEALTH
Active
Other names
Buchanan County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY WILLIS (BUSINESS MANAGER)
(276) 935-4677
Entity
Organization
Contact information
Practice address
1051 ROSEBUD RD, GRUNDY, VA 24614-0618
(276) 935-4677
(276) 935-4537
Mailing address
PO BOX 618, GRUNDY, VA 24614-0618
(276) 935-4677
(276) 935-4591
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370009592
RAILROAD MEDICARE
VA
Enumeration date
03/28/2006
Last updated
06/10/2011
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