GOOCHLAND POWHATAN COMMUNITY SERVICES (NPI# 1467448571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467448571 |
Entity Type | Organization |
Organization Name | GOOCHLAND POWHATAN COMMUNITY SERVICES |
Practice Address |
3058 River Rd W Goochland VA 23063-3202 |
Mailing Address |
Po Box 189 Goochland VA 23063-0189 |
Practice Telephone | 8045565400 |
Practice Fax Number | 8045565403 |
Mailing Telephone | 8045565400 |
Mailing Fax Number | 8045565403 |
Enumeration Date | 2005-09-23 |
Last Update Date | 2019-05-01 |
Authorized Official Name | STACY GILL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8045565400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
207 | VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 004948262 | 05 | |
VA | 004978561 | 05 | |
VA | 004949919 | 05 | |
VA | 004949927 | 05 | |
VA | 004945557 | 05 |
Street Address |
3058 RIVER RD W |
City | GOOCHLAND |
State | VA |
Zip Code | 23063-3202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063047967 | Grace Stapleton | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2020-03-11 |
1780184903 | Emer Rachel Henry | Occupational Therapist | 3058 River Rd W, Goochland, VA 23063-3202 | 2018-02-14 |
1457867848 | Kelsey Leigh Gilbert | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2017-12-20 |
1326565730 | Michelle Lynn Sowards | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2017-08-25 |
1396115960 | Jennifer Jane Mixson | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2015-09-25 |
1184960635 | Sarah Elizabeth White | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2013-01-02 |
1548504467 | Nora M Vassar | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2012-11-15 |
1861765349 | Lora Hack | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2012-02-15 |
1871635904 | Stacy Hamilton Gill | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2007-02-13 |
1073551339 | David R Dilzer | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2006-06-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710217526 | Ruth D Baldwin | Social Worker | 2999 River Rd W, Goochland, VA 23063 | 2009-12-30 |
1003057530 | Pamela H Richardson | Family Medicine | 1800 Sandy Hook Road, Suite 120, Goochland, VA 23063 | 2009-03-12 |
1104078864 | Brenda F Murray | Counselor | 3058 River Road West, Goochland, VA 23063 | 2008-10-14 |
1073631149 | Melissa Olson Black | Specialist/Technologist | 3250 River Road West, Goochland, VA 23063 | 2007-03-27 |
1760564264 | Sonja Maria Johns | Family Medicine | 2841 West River Rd, Virginia Correctional Center for Women, Goochland, VA 23063 | 2006-10-20 |
1689698573 | Susan Wooldridge | Counselor | 1975 Elk Hill Road, Goochland, VA 23063 | 2006-07-26 |
1083634810 | Nancy B Davis | Nurse Practitioner | Goochland Health Dept, Goochland, VA 23063 | 2006-07-21 |
1154347342 | Goochland County Public Schools | Local Education Agency (LEA) | 2938 West River Road, Goochland, VA 23063 | 2006-07-14 |
1649203746 | Goochland Pharmacy Inc | Pharmacy | 1956 Sandy Hook Rd, Goochland, VA 23063 | 2006-07-09 |
1346418316 | Elk Hill Farm, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1975 Elk Hill Road, Goochland, VA 23063 | 2008-02-13 |
Find all providers in zip 23063 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.