FREE CLINIC OF POWHATAN (NPI# 1619446994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619446994 |
| Entity Type | Organization |
| Organization Name | FREE CLINIC OF POWHATAN |
| Practice Address |
3908 Old Buckingham Rd Powhatan VA 23139-5753 |
| Practice Telephone | 8045985637 |
| Practice Fax Number | 8045985636 |
| Mailing Telephone | 8045985637 |
| Mailing Fax Number | 8045985636 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | MRS. CONNIE MOSLOW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8045985637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Free Clinic of Powhatan Incorporated | 3908 Old Buckingham Rd, Powhatan, Virginia 23139-5753 |
| Street Address |
3908 OLD BUCKINGHAM RD |
| City | POWHATAN |
| State | VA |
| Zip Code | 23139-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366462137 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 3908 Old Buckingham Rd, Suite 1, Powhatan, VA 23139-5753 | 2006-07-21 |
| 1750507372 | Jordan Bailey | Nurse Practitioner | 3908 Old Buckingham Rd, Powhatan, VA 23139-5753 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932521432 | Robin M Duncan | Nurse Practitioner | 5809 Anderson Hwy, Powhatan, VA 23139 | 2014-01-17 |
| 1326302563 | Albert Gordon Pavalonis | Surgery | 1735 Calais Trail, Powhatan, VA 23139 | 2012-07-03 |
| 1306107461 | Scitest Laboratories Inc | Clinical Medical Laboratory | 1551 Oakbridge Drive, Suite A, Powhatan, VA 23139 | 2012-06-06 |
| 1528365459 | Stephen Siewers Johnson | Social Worker | 1480 Oakbridge Ct., Powhatan, VA 23139 | 2011-02-11 |
| 1609004571 | Tidewater Physical Therapy, LLC | Occupational Therapist | 3510 Anderson Hwy, Suite 2, Powhatan, VA 23139 | 2009-06-30 |
| 1699912816 | Powhatan Gentle Dentistry | Health Maintenance Organization | 2105 Academy Road, Suite J, Powhatan, VA 23139 | 2009-01-09 |
| 1902932387 | Mary Therese Shepperson | Pharmacist | 1800 South Creek One Suite L, Powhatan, VA 23139 | 2007-02-27 |
| 1841383627 | Ernest Tracy Spaur | Dentist | 3852 Old Buckingham Rd, Powhatan, VA 23139 | 2006-10-02 |
| 1700987419 | Alpha Counseling Asso Pllc | Social Worker | 2142 Plainview Center, Powhatan, VA 23139 | 2006-09-26 |
| 1073565289 | Barbara M. Prillaman | Family Medicine | 3510-a Anderson Hwy., Powhatan, VA 23139 | 2006-05-16 |
| Find all providers in zip 23139 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626478 | Partners In Family Practice LLC | Clinic/Center | 430 Clairmont Ct Ste 123, Colonial Heights, VA 23834-1770 | 2020-10-09 |
| 1730790874 | Janice G. Sadaya-conda M.d., Pllc | Clinic/Center | 6128 Brandon Ave Ste 225, Springfield, VA 22150-2640 | 2020-08-12 |
| 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 |
| 1295359883 | Advanced Onsite Care LLC | Clinic/Center | 1045 Robert Welch Ln, Chesapeake, VA 23320-6770 | 2020-05-30 |
| 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.