FAMILY HEALTH CARE ASSOCIATES OF SWVA.,PC (NPI# 1003955337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003955337 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE ASSOCIATES OF SWVA.,PC |
| Practice Address |
143 W Main St Lebanon VA 24266-4430 |
| Mailing Address |
Po Box 369 Lebanon VA 24266-0369 |
| Practice Telephone | 2768892394 |
| Practice Fax Number | 2768894716 |
| Mailing Telephone | 2768892394 |
| Mailing Fax Number | 2768894716 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | DEBORAH A BAILEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2768891297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005600588 | 05 |
| Street Address |
143 W MAIN ST |
| City | LEBANON |
| State | VA |
| Zip Code | 24266-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467418566 | Dwight Lawrence Bailey | Family Medicine | 143 W Main St, Lebanon, VA 24266-4430 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
| 1558864421 | Wells Ness | Clinic/Center | 1430 W Baddour Pkwy Ste A1, Lebanon, TN 37087-2656 | 2018-03-16 |
| 1093126385 | Premise Health of Oregon Medical P C | Clinic/Center | 1001 Reeves Pkwy, Lebanon, OR 97355-7001 | 2014-05-08 |
| 1316273451 | Mcfarlin & Stumb Healthcare Professionals LLC | Clinic/Center | 317 Valleyview Cir, Lebanon, TN 37087-8942 | 2009-10-24 |
| 1750890174 | Midtenn Primary Care, LLC | Clinic/Center | 701 Park Ave, Lebanon, TN 37087-3724 | 2017-09-28 |
| 1467702456 | Kidscare Clinic Inc | Clinic/Center | 1029 W Main St, Suite O, Lebanon, TN 37087-3351 | 2012-09-17 |
| 1760615736 | L. A. Bealer Inc | Clinic/Center | 732 S Madison Ave, Lebanon, MO 65536-3591 | 2009-08-25 |
| 1003080169 | Annandale Family Practice, LLC | Clinic/Center | 56 Payne Rd, Suite 21, Lebanon, NJ 08833-3262 | 2008-04-18 |
| 1104948082 | Musaddiq Nazeeri, Md, PC | Clinic/Center | 1023 Poplar St, Lebanon, PA 17042-6636 | 2007-04-04 |
| 1104964576 | Cumberland Pediatric Associates | Clinic/Center | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2007-02-01 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.