Southwest Virginia Community Health Systems Inc
Organization Active NPI Community/Retail Pharmacy · Bristol, VA
NPI 1407469596 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1407469596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC
- Practice address
- 2195 Euclid Ave
Bristol, VA 24201-3655 - Phone
- (276) 644-4489
- Fax
- (276) 644-4476
- NPI assigned
- Aug 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Joseph Bryan Haynes
- Title
- Ceo
- Phone
- (276) 496-4492
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Southwest Virginia Community Health Systems Inc
Locations
2195 Euclid Ave
Bristol, VA 24201
Phone (276) 669-5179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2195 Euclid Ave
Bristol, VA 24201-3655
Mailing address
2195 Euclid Ave Ste 6
Bristol, VA 24201-3655
Phone (276) 644-4489
Other names
- Bristol Community Health Center Pharmacy
NPI Registry JSON
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742428800000",
"number": "1407469596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 EUCLID AVE STE 6",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013655",
"telephone_number": "276-644-4489",
"fax_number": "276-644-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 EUCLID AVE",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013655",
"telephone_number": "276-644-4489",
"fax_number": "276-644-4476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "BRYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "276-496-4492"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bristol Community Health Center Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bristol Community Health Center Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.