Organization
JOHNSON HEALTH CENTER
Active
Other names
Lynchburg Women's and Pediatric Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CAMPBELL (CEO)
(434) 455-2480
Entity
Organization
Contact information
Practice address
2402 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-6401
(434) 528-2639
Mailing address
134 ELON ROAD, MADISON HEIGHTS, VA 24572
(434) 455-2480
(434) 455-2487
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010256704
—
VA
Enumeration date
04/12/2007
Last updated
07/21/2022
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