Boydton Community Health Facility, INC

NPI #1194982595 in Boydton, Virginia

Provider Information

NPI Number: 1194982595
Entity Type: Organization
Organization Name: Boydton Community Health Facility, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 22, 2008
Last Updated: Nov 11, 2010

Practice Location

Address: 1321 JEFFERSON STREET
City: Boydton
State: Virginia
ZIP Code: 23917
Phone: (434) 738-6102

Authorized Official

Name: MRS. ANGELA N MILLER
Title: DIRECTOR OF OPERATIONS
Phone: (434) 738-6102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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Boydton Community Health Facility INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Boydton	AI Deep Dive
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