ELKTON FAMILY AND CHILDRENS MEDICAL CLINIC (NPI# 1477751915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477751915 |
| Entity Type | Organization |
| Organization Name | ELKTON FAMILY AND CHILDRENS MEDICAL CLINIC |
| Practice Address |
115 E Rockingham St Elkton VA 22827-1522 |
| Practice Telephone | 5402989900 |
| Practice Fax Number | 5402988991 |
| Mailing Telephone | 5402989900 |
| Mailing Fax Number | 5402988991 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2010-12-23 |
| Authorized Official Name | MR. PETER GRAYSON HILL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5402989900 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | 0024166329 | VA | Agencies |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0024166329 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | EFCMC NPI | 1477751915 | 01 |
| VA | INDIVIDUAL NPI NUMBER | 1134126626 | 01 |
| VA | PTAN | C10418 | 01 |
| VA | DR STAUFFER'S VA LICENSE | 0101031417 | 01 |
| VA | 010119146 | 05 | |
| VA | DR. STAUFFER NPI | 1538190434 | 01 |
| VA | 5689660 | 05 |
| Street Address |
115 E ROCKINGHAM ST |
| City | ELKTON |
| State | VA |
| Zip Code | 22827-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126626 | Peter Hill | Nurse Practitioner | 115 E Rockingham St, Elkton, VA 22827-1522 | 2005-06-30 |
| 1841341187 | Mark W Prager | General Practice | 115 E Rockingham St, Elkton, VA 22827-1522 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162947 | Anna Maria Sullivan | Speech-Language Pathologist | 14556 Rockingham Pike, River Bend Elementary School, Elkton, VA 22827 | 2018-01-18 |
| 1215314703 | Speech and Language Center Pllc | Speech-Language Pathologist | 800 Shenandoah Avenue, Suite 170, Elkton, VA 22827 | 2015-05-04 |
| 1417387226 | Patrick B Smith | Physical Therapist | 800 Shenandoah Ave, Suite 140, Elkton, VA 22827 | 2013-11-14 |
| 1215188255 | Lee William Robertson | Optometrist | 204 W Spotswood Trail, Elkton Eyecare, Elkton, VA 22827 | 2008-10-08 |
| 1962930537 | Erin Elizabeth Morris | Nurse Practitioner | 800 Shenandoah Avenue, Suite 170, Elkton, VA 22827 | 2017-05-26 |
| 1750827523 | Harrisonburg Community Health Center Inc | Clinic/Center | 800 Shenandoah Avenue, Suite 170, Elkton, VA 22827 | 2017-01-17 |
| 1285142208 | Mary Johanna Fox Klein | Speech-Language Pathologist | 302 W B St, Elkton, VA 22827-1010 | 2018-01-11 |
| 1902825409 | Garner H Downey | Optometrist | 304 W Spotswood Ave, Elkton, VA 22827-1100 | 2006-07-18 |
| 1306126743 | Elkton Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 304 W Spotswood Ave, Elkton, VA 22827-1100 | 2011-08-17 |
| 1801984919 | Drs Downey&veith Optometrist | Optometrist | 304 W Spotswood Ave, Elkton, VA 22827-1100 | 2006-10-11 |
| Find all providers in zip 22827 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1598375610 | Johnson Venture Management Solutions, Inc. | Clinic/Center | 17 Langley Blvd Bldg 1216, Hampton, VA 23681-2143 | 2020-08-04 |
| 1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
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| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| 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.