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TAZEWELL COMMUNITY HEALTH CENTER
NPI 1083745053
Clinic/Center - Federally Qualified Health Center (FQHC) in Tazewell, VA

Active since March 08, 2007CLIA 49D1055721 · Waiver
386 BEN BOLT AVENUE, TAZEWELL, VA 24651(276) 979-9899(276) 979-9798 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2021, Jan 14, 2019, Nov 8, 2018 (3 updates tracked since 2018).

About Tazewell Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAZEWELL COMMUNITY HEALTH CENTER (NPI 1083745053) is a healthcare organization registered as a federally qualified health center (fqhc) in Tazewell, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Joseph Bryan Haynes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083745053
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC
Location Address386 BEN BOLT AVENUETazewell, VA 24651
Mailing AddressPo Box 729Saltville, VA 24370-0729 · (276) 979-9899 · Fax (276) 979-9798
Phone(276) 979-9899
Fax(276) 979-9798
Organization SubpartNo
Authorized OfficialJoseph Bryan HaynesCeo · (276) 979-9899
Enumeration DateMarch 8, 2007
Last NPPES UpdateJune 7, 20213 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1083745053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
386 BEN BOLT AVENUE, Tazewell, VA 24651
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Other Names 1

Doing Business AsTazewell Community Health Center

Other Identifiers 2

Medicaid3810008508WV
Medicaid1083745053VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tazewell Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Tazewell Community Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner12
Clinical Social Worker8
Family Practice5
Pediatric Medicine2
General Practice1
Internal Medicine1
Optometry1

Nearest to this location (20)

See all 30
Marie Green, NP
Nurse Practitioner
NPI 1215549936
386 BEN BOLT AVE
Tazewell, VA 24651
(276) 979-9899
✔ PECOS✔ Accepts MedicareSame address
Susan Horne, NP
Nurse Practitioner
NPI 1003587338
386 BEN BOLT AVE
Tazewell, VA 24651
(276) 979-9899
✔ PECOS✔ Accepts MedicareSame address
Broc Miller
Family Practice
NPI 1740985571
386 BEN BOLT AVE
Tazewell, VA 24651
(276) 979-9899
✔ PECOS✔ Accepts MedicareSame address
Richard Bare, LCSW, LCAS
Clinical Social Worker
NPI 1700329042
388 BEN BOLT AVE
Tazewell, VA 24651
(276) 979-9899
✔ PECOS✔ Accepts Medicare0.1 mi
Marcy Rosenbaum, LCSW
Clinical Social Worker
NPI 1598936627
319 5TH AVE
Saltville, VA 24370
(276) 496-4492
✔ PECOS22 mi
Melissa Doane-Williams, L.C.S.W.
Clinical Social Worker
NPI 1407169840
319 5TH AVE
Saltville, VA 24370
(276) 496-4492
✔ PECOS✔ Accepts Medicare22 mi
Emily Stacy, PMHNP
Nurse Practitioner
NPI 1427285188
319 5TH AVE
Saltville, VA 24370
(276) 496-4492
✔ PECOS✔ Accepts Medicare22 mi
Morgan Trogdon, LCSW
Clinical Social Worker
NPI 1750067401
319 5TH AVE
Saltville, VA 24370
(276) 496-4492
✔ PECOS✔ Accepts Medicare22 mi
Edgar Camargo, M.D.
Internal Medicine
NPI 1235112558
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare22 mi
Chelsey Cardwell, FNP
Nurse Practitioner
NPI 1962108464
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare22 mi
James Miller, LCSW
Clinical Social Worker
NPI 1225355373
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare22 mi
Pamela Somervell, M.D.
Family Practice
NPI 1003846833
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare22 mi
Bambi Evans
Nurse Practitioner
NPI 1760205983
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare23 mi
Kimberly Harding
Nurse Practitioner
NPI 1649887878
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare23 mi
Brandon Blevins, O.D.
Optometry
NPI 1639466840
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare25 mi
Kristin Bresowar, M.D.
Family Practice
NPI 1003074071
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare25 mi
Janet Cuddy, FNP
Nurse Practitioner
NPI 1891937413
13168 MEADOWVIEW SQUARE
Meadowview, VA 24361
(276) 944-3999
✔ PECOS✔ Accepts Medicare32 mi
Jessica Evans, DO
Family Practice
NPI 1629569934
13168 MEADOWVIEW SQ
Meadowview, VA 24361
(276) 944-3999
✔ PECOS✔ Accepts Medicare32 mi
Vicente Ortiz, M.D.
General Practice
NPI 1093964280
13168 MEADOWVIEW SQUARE
Meadowview, VA 24361
(276) 944-3999
✔ PECOS✔ Accepts Medicare32 mi
Alex Versen
Clinical Social Worker
NPI 1134509318
13168 MEADOWVIEW SQUARE
Meadowview, VA 24361
(276) 944-3999
✔ PECOS✔ Accepts Medicare32 mi
See all 30 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1055721

Tazewell Community Health Center · Tazewell, VA
Active · expires Jun 22, 2028
CLIA Number49D1055721
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorKristin Bresowar
Laboratory Phone(276) 979-9899
Laboratory LocationTazewell Community Health Center386 Ben Bolt Avenue, Tazewell, VA 24651
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Virginia Community Health Systems Inc's NPI number?

The NPI number for Southwest Virginia Community Health Systems Inc is 1083745053. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Tazewell Community Health Center.

Where is Southwest Virginia Community Health Systems Inc located?

Southwest Virginia Community Health Systems Inc is located at 386 Ben Bolt Avenue, Tazewell, VA 24651. The listed phone number is (276) 979-9899.

What is Southwest Virginia Community Health Systems Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Southwest Virginia Community Health Systems Inc enrolled in Medicare?

Yes. Southwest Virginia Community Health Systems Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Virginia Community Health Systems Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 7 Medicare specialties reassign their Medicare billing to Southwest Virginia Community Health Systems Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Clinical Social Worker (8) and Family Practice (5). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest Virginia Community Health Systems Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1055721) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Virginia Community Health Systems Inc accept?

Health plans from UnitedHealthcare list Southwest Virginia Community Health Systems Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southwest Virginia Community Health Systems Inc was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.