INDEPENDENCE FAMILY CARE CENTER, PC (NPI# 1437275377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437275377 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE FAMILY CARE CENTER, PC |
| Practice Address |
217 S Independence Ave Independence VA 24348-2802 |
| Practice Telephone | 2767732111 |
| Mailing Telephone | 2767732111 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-11-29 |
| Authorized Official Name | NANCE LOVELACE (PRESIDENT) |
| Authorized Official Telephone | 2767732111 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BCBS ANTHEM | 143862 | 01 |
| VA | 010134129 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538101951 | Independence Family Care Center, PC | Family Medicine | 217 S Independence Ave, Independence, VA 24348-2802 | 2006-06-11 |
| Street Address |
217 S INDEPENDENCE AVE |
| City | INDEPENDENCE |
| State | VA |
| Zip Code | 24348-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538101951 | Independence Family Care Center, PC | Family Medicine | 217 S Independence Ave, Independence, VA 24348-2802 | 2006-06-11 |
| 1750858502 | Jaime Warren | Nurse Practitioner | 217 S Independence Ave, Independence, VA 24348-2802 | 2018-10-30 |
| 1083954846 | Daisy Maevell Edwards | Nurse Practitioner | 217 S Independence Ave, Independence, VA 24348-2802 | 2013-02-15 |
| 1053687285 | Dlp Twin County Physician Practices LLC | Internal Medicine | 217 S Independence Ave, Independence, VA 24348-2802 | 2012-04-02 |
| 1942229851 | John Joseph Kovacich | Internal Medicine | 217 S Independence Ave, Independence, VA 24348-2802 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073674966 | Virginia Highlands Orthopaedic Spine Center, LLC | Clinic/Center | 304 Davis Street, Independence, VA 24348 | 2006-12-13 |
| 1164434007 | Ryan Anthony Tauzell | Physical Therapist | 304 Davis St, Independence, VA 24348 | 2006-08-12 |
| 1619911427 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 186 West Main St, Independence, VA 24348 | 2006-06-15 |
| 1497703128 | Grayson County Public Schools | Local Education Agency (LEA) | 412 East Main Street, Independence, VA 24348 | 2006-05-05 |
| 1295715704 | Mary-emma Beres | Family Medicine | 127 E Main St, Independence, VA 24348 | 2006-01-19 |
| 1720476757 | Nicholas James Derenzis | Physical Therapist | 400 S Independence Ave, Independence, VA 24348 | 2014-12-29 |
| 1922182112 | Grayson Highlands Family Medicine & Obstetrics | Family Medicine | 127 East Main Street, Independence, VA 24348 | 2006-10-24 |
| 1497868103 | Daniel Robert Perry | Physical Therapist | 304 Davis St, Independence, VA 24348 | 2006-08-16 |
| 1699888313 | Christie H King | Radiologic Technologist | 304 Davis St, Independence, VA 24348 | 2006-08-16 |
| 1427161652 | Alta Billings | Licensed Practical Nurse | 304 Davis St, Independence, VA 24348 | 2006-08-15 |
| Find all providers in zip 24348 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1285988733 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2012-11-06 |
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| 1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 24348 |
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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.