Organization Name: | SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC |
NPI Number: | 1942523006 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH BRYAN HAYNES (EXECUTIVE DIRECTOR) |
Mailing Address: | 319 5th Ave Saltville |
State: | VA US |
Postal Code: | 243703418 |
Phone Number: | 2764964141 |
Fax Number: | 2764964685 |
NPI Enumeration Date: | 03/03/2010 |
NPI Last Update Date: | 07/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |