Organization
FAMILY HEALTH CARE ASSOCIATES
Active
Other names
Ridgewood Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT LAWRENCE BAILEY MD (PRESIDENT)
(276) 889-2394
Entity
Organization
Contact information
Practice address
143 WEST MAIN STREET, LEBANON, VA 24266-4214
(276) 889-2394
(276) 889-3861
Mailing address
PO BOX 369, LEBANON, VA 24266-0369
(276) 889-2394
(276) 889-3861
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7617917
—
VA
Enumeration date
10/13/2006
Last updated
01/06/2011
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