Provider Demographics
NPI:1215026307
Name:C-HEALTH PC
Entity Type:Organization
Organization Name:C-HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:EASTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-889-3700
Mailing Address - Street 1:PO BOX 2377
Mailing Address - Street 2:495 EAST MAIN STREET
Mailing Address - City:LEBANON
Mailing Address - State:VA
Mailing Address - Zip Code:24266-2377
Mailing Address - Country:US
Mailing Address - Phone:276-889-3700
Mailing Address - Fax:276-889-5505
Practice Address - Street 1:495 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266
Practice Address - Country:US
Practice Address - Phone:276-889-3700
Practice Address - Fax:276-889-5505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5419895171261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA216348OtherANTHEM
VAC06366Medicare PIN