Buchanan Health Center Inc
Organization Active NPI Family Medicine Physician · Grundy, VA
NPI 1154485779 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154485779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BUCHANAN HEALTH CENTER INC
- Practice address
- RT 5
BGH Prof BLDG Suite 101
Grundy, VA 24614 - Phone
- (276) 935-2080
- Fax
- (276) 935-2082
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Avril Ray Ratliff
- Title
- President
- Phone
- (276) 935-2080
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Practitioners 4
-
Juanita Keen, FNP
-
Rachel Ann Fuller, FNP
-
William Thomas Powers, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050318000336 | VA | Part B Supplier - Clinic/Group Practice | 1254386659 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Grundy, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
RT 5
BGH Prof BLDG Suite 101
Grundy, VA 24614
Mailing address
PO Box 1217
Grundy, VA 24614
Phone (276) 935-2080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003028 | Medicaid | WV |
Other providers in Grundy, VA
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc.
- Buchanan General Hospital, Inc
- Buchanan Health Care LLC
- Buchanan Health Diabetes Center
- Buchanan Pharmacy Associates
- Buchanan Physician Services LLC
- Buchanan Radiology Associates, Inc
- Buchanan Therapy Services, Inc.
All providers in Grundy, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.