Boydton Dental Center

LBN: Boydton Community Health Facility Inc
Boydton Dental Center is an health care organization with primary practice located at 1329 Jefferson Street , Boydton VA 23917. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Boydton Community Health Facility Inc can be contacted via phone (434) 738-0729, or through Miller, Angela N via phone (434) 738-6102.

Contact Information

Primary practice address
1329 Jefferson Street Boydton VA 23917
Phone: (434) 738-0729
Fax: (434) 738-6982
Website:
Map and Directions
Authorized official contact:
Name: Miller, Angela N
Phone: (434) 738-6102

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1114184546
LBN Legal business name Boydton Community Health Facility Inc
DBA Doing business as Boydton Dental Center
Authorized official Miller, Angela N
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated Jul 24th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114184546 NPPES
Virginia MEDICAID 007691092

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