MECKLENBURG FAMILY PRACTICE (NPI# 1427232735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427232735 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG FAMILY PRACTICE |
| Practice Address |
969 Madison St Boydton VA 23917-0297 |
| Mailing Address |
Po Box 297 Boydton VA 23917-0297 |
| Practice Telephone | 4347386911 |
| Practice Fax Number | 4347380431 |
| Mailing Telephone | 4347386911 |
| Mailing Fax Number | 4347380431 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | DR. WILLOUGHBY SHELTON HUNDLEY III (PRESIDENT) |
| Authorized Official Telephone | 4347386911 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
VA | Ambulatory Health Care Facilities |
| Street Address |
969 MADISON ST |
| City | BOYDTON |
| State | VA |
| Zip Code | 23917-0297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710938576 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 969 Madison St, Boydton, VA 23917 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194982595 | Boydton Community Health Facility, Inc | Clinic/Center | 1321 Jefferson Street, Boydton, VA 23917 | 2008-05-22 |
| 1851579130 | Moira R Hurley | Internal Medicine | 380 Washington St., Boydton, VA 23917 | 2008-02-08 |
| 1053454058 | Charles Joseph Devine IIi | Preventive Medicine | 434 Washington St., Boydton, VA 23917 | 2007-02-15 |
| 1285726133 | Robin H. Jennings | Dental Hygienist | 1329 Jefferson Street, Boydton, VA 23917 | 2006-09-29 |
| 1588678098 | Angela Poythress | Counselor | 523 Madison St., Boydton, VA 23917 | 2006-07-28 |
| 1407860158 | Jan Skibinski | Pharmacist | 390 Washington Street, Boydton, VA 23917 | 2006-07-28 |
| 1285652057 | Jan L Hundley | Counselor | 1237 Jefferson St, Boydton, VA 23917 | 2006-07-18 |
| 1104880582 | Boydton Community Pharmacy | Pharmacy | 390 Washington St, Boydton, VA 23917 | 2006-04-13 |
| 1578526083 | Elaine M Cole | Social Worker | 523 Madison Street, Boydton, VA 23917 | 2006-04-07 |
| 1457328767 | Willoughby Shelton Hundley IIi | Emergency Medicine | 969 Madison Street, Suite/box 297, Boydton, VA 23917 | 2006-03-06 |
| Find all providers in zip 23917 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
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| Find all providers with the same taxonomy | ||||
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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.