Organization
JOHNSON HEALTH CENTER
Active
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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