STONY CREEK COMMUNITY HEALTH CENTER (NPI# 1376515031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376515031 |
| Entity Type | Organization |
| Organization Name | STONY CREEK COMMUNITY HEALTH CENTER |
| Practice Address |
12454 Hartley St Stony Creek VA 23882-3302 |
| Practice Telephone | 4342466100 |
| Practice Fax Number | 4342466614 |
| Mailing Telephone | 4342466100 |
| Mailing Fax Number | 4342466614 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | LUCY J ELDER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4342463501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007636407 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | STONY CREEK COMMUNITY HEALTH CENTER | Po Box 188, Stony Creek, Virginia 23882 |
| Street Address |
12454 HARTLEY ST |
| City | STONY CREEK |
| State | VA |
| Zip Code | 23882-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891766549 | Malalai Azmi | Family Medicine | 12454 Hartley St, Stony Creek, VA 23882-3302 | 2006-01-31 |
| 1164493813 | Michael D Matherlee | Family Medicine | 12454 Hartley St, Stony Creek, VA 23882-3302 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932478773 | Stony Creek Rescue Squad | Ambulance | 13328 Bluestar Hwy, Stony Creek, VA 23882 | 2011-12-23 |
| 1538268404 | Stony Creek Pharmacy LLC | Pharmacy | 12451 Main Street, Stony Creek, VA 23882 | 2006-09-21 |
| 1255525382 | Howard Otto Wachsmann Jr. | Pharmacist | 12451 Main Street, Stony Creek, VA 23882 | 2007-08-31 |
| 1427118124 | Personal Touch Home Care Services | Home Health Aide | 11042 Blue Star Hwy, Stony Creek, VA 23882-0305 | 2006-12-11 |
| 1588285662 | Lindley Walker Abernathy | Nurse Practitioner | 25506 Courthouse Rd, Stony Creek, VA 23882-2042 | 2020-04-30 |
| 1104337278 | Stephen Wendell Hill | Driver | 7214 Parham Rd, Stony Creek, VA 23882-2728 | 2017-10-17 |
| 1528495116 | D19 Transportation Service, LLC. | Taxi | 10004 Blue Star Hwy, Stony Creek, VA 23882-3218 | 2013-09-27 |
| 1982233490 | D19 Transportation Service Inc. | Ambulance | 10004 Blue Star Hwy, Stony Creek, VA 23882-3218 | 2020-04-06 |
| 1669857835 | D19 Transportation Service Inc. | Non-emergency Medical Transport (VAN) | 10004 Blue Star Hwy, Stony Creek, VA 23882-3218 | 2015-07-29 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1750937009 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 182 Shire Ln, North Tazewell, VA 24630-5044 | 2019-08-13 |
| 1649825092 | The Daily Planet Inc | Clinic/Center | 1532 High St, Richmond, VA 23220-2314 | 2019-08-02 |
| 1093367732 | Peninsula Institute for Community Health Inc | Clinic/Center | 7401 Warwick Blvd, Newport News, VA 23607-1515 | 2019-07-12 |
| 1538725668 | Peninsula Institute for Community Health Inc | Clinic/Center | 9294 Warwick Blvd, Newport News, VA 23607-1535 | 2019-05-14 |
| 1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
| 1427560242 | Neighborhood Health | Clinic/Center | 5000 Polk Ave, Alexandria, VA 22304-1908 | 2017-11-02 |
| 1679084297 | Neighborhood Health | Clinic/Center | 8100 Fordson Rd, Alexandria, VA 22306-3128 | 2017-10-23 |
| 1396256087 | Neighborhood Health | Clinic/Center | 1501 Cameron St, Alexandria, VA 22314-2702 | 2017-10-20 |
| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
| City | STONY CREEK |
| Zip Code | 23882 |
Please comment or provide details below to improve the information on STONY CREEK COMMUNITY HEALTH CENTER.
| 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.