TROUTDALE MEDICAL CENTER (NPI# 1447333778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447333778 |
| Entity Type | Organization |
| Organization Name | TROUTDALE MEDICAL CENTER |
| Other Organization Name | TROUTDALE MEDICAL CENTER |
| Practice Address |
67 High Country Ln Troutdale VA 24378-2255 |
| Practice Telephone | 2766774187 |
| Practice Fax Number | 2766774082 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST) |
| Authorized Official Telephone | 8006540889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 0101033664 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4838530 | 01 |
| Other Name | Type Code |
|---|---|
| TROUTDALE MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
67 HIGH COUNTRY LN |
| City | TROUTDALE |
| State | VA |
| Zip Code | 24378-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420876 | The Troutdale Community Volunteer Fire Department and Rescue Squad Inc | Ambulance | 291 Ripshin Road, Troutdale, VA 24378 | 2019-04-12 |
| 1487284840 | Dalana Dawn Lane | Nurse Practitioner | 976 Grange Hall Rd, Troutdale, VA 24378-2015 | 2020-01-23 |
| 1033464060 | Grayson Highlands Clinic Corp | Family Medicine | 6436 Troutdale Hwy, Troutdale, VA 24378-2023 | 2012-07-16 |
| 1376142281 | Tri Area Community Health | Clinic/Center | 6436 Troutdale Hwy, Troutdale, VA 24378-2023 | 2020-10-21 |
| 1659330041 | Douglas Clark Niemi | Dentist | 47 High Country Ln, Troutdale, VA 24378-2255 | 2006-03-22 |
| 1891336210 | Penelope Lassiter Halsey | Speech-Language Pathologist | 6459 Troutdale Hwy, Troutdale, VA 24378-2572 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558989699 | Greyson Thomas Aragon | Massage Therapist | 124 Se Harlow Ave, Troutdale, OR 97060-2049 | 2020-07-06 |
| 1487284840 | Dalana Dawn Lane | Nurse Practitioner | 976 Grange Hall Rd, Troutdale, VA 24378-2015 | 2020-01-23 |
| 1912549858 | Diana Gabriela Barajas Lopez | Dental Hygienist | 3834 Se Dora Ct, Troutdale, OR 97060-2513 | 2019-10-11 |
| 1891336210 | Penelope Lassiter Halsey | Speech-Language Pathologist | 6459 Troutdale Hwy, Troutdale, VA 24378-2572 | 2019-10-07 |
| 1386200871 | Andrea O'brien | Massage Therapist | 620 Se 11th Cir, Troutdale, OR 97060-3234 | 2019-05-10 |
| 1518420876 | The Troutdale Community Volunteer Fire Department and Rescue Squad Inc | Ambulance | 291 Ripshin Road, Troutdale, VA 24378 | 2019-04-12 |
| 1447746276 | Madeline Evans | Specialist/Technologist | 1698 Sw Cherry Park Rd, Troutdale, OR 97060-1481 | 2018-07-04 |
| 1235621509 | James Ruport | Physical Therapist | 1023 Se 48th Pl, Troutdale, OR 97060-4524 | 2018-06-03 |
| 1851889752 | Rebecca Cathleen Ahl | Massage Therapist | 422 Se Harlow Ave, Troutdale, OR 97060-2055 | 2018-04-25 |
| 1699205005 | Kurtis A Phillipi | Licensed Practical Nurse | 3745 Se 317th Ave, Troutdale, OR 97060-9401 | 2017-06-18 |
| Find all providers in TROUTDALE | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750581062 | Gresham-troutdale Family Medical Center | Non-Pharmacy Dispensing Site | 1700 Sw 27th Ave, Troutdale, OR 97060 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831573534 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 121 Maxine Rd, Danville, VA 24541-6411 | 2015-07-13 |
| 1215346911 | Mobile Lab America LLC | Non-Pharmacy Dispensing Site | 3078 Hull St, Richmond, VA 23224-3574 | 2014-08-06 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1295051308 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 9715 Liberia Ave., Manassas, VA 20110 | 2010-04-14 |
| 1366768475 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 601 Potomac Station Dr, Leesburg, VA 20176 | 2010-04-14 |
| 1215101126 | Drs. Gardner & Veloso | Non-Pharmacy Dispensing Site | 307 1st St Sw, Roanoke, VA 24011-1901 | 2008-04-22 |
| 1609920685 | Virginia Adult & Pediatric Allergy & Asthma PC | Non-Pharmacy Dispensing Site | 14351 Sommerville Ct, Midlothian, VA 23113-6837 | 2007-01-23 |
| 1144378704 | Patient First | Non-Pharmacy Dispensing Site | 706 N Battlefield Blvd, Chesapeake, VA 23320 | 2007-01-08 |
| 1639230683 | Ellington Opticians | Non-Pharmacy Dispensing Site | 201 Temple Ave, B, Colonial Heights, VA 23834-2801 | 2006-12-13 |
| 1447813001 | Pmr Virginia Holding, LLC | Non-Pharmacy Dispensing Site | 49 W Mercury Blvd, Hampton, VA 23669-2508 | 2019-04-19 |
| 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.