VANCE FAMILY MEDICINE, PA (NPI# 1619938479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619938479 |
| Entity Type | Organization |
| Organization Name | VANCE FAMILY MEDICINE, PA |
| Practice Address |
381 Ruin Creek Rd Henderson NC 27536-2932 |
| Practice Telephone | 2524300666 |
| Practice Fax Number | 2524307503 |
| Mailing Telephone | 2524300666 |
| Mailing Fax Number | 2524307503 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | KHANH T VU (OWNER) |
| Authorized Official Telephone | 2524300666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 344628A | 05 |
| Street Address |
381 RUIN CREEK RD |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570717 | Khanh Tuan Vu | Family Medicine | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2005-07-05 |
| 1053912345 | Ashlyn Gruber | Physician Assistant | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2020-11-04 |
| 1861099384 | Laura N Okolie | Physician Assistant | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2020-10-07 |
| 1104451830 | Jeremiah Powers | Physician Assistant | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2020-03-03 |
| 1831739671 | Taryn Farrell | Nurse Practitioner | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2020-01-09 |
| 1467090787 | Whitney Rae Hicks | Physician Assistant | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2019-12-17 |
| 1508417767 | Jose Carlo Macalino Esteban | Physician Assistant | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2019-09-27 |
| 1902457518 | Krishna Patel | Physician Assistant | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2019-09-25 |
| 1376192708 | Lara Quinlivan | Physician Assistant | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2019-09-09 |
| 1992354526 | Emily Kristine Watts | Physician Assistant | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1982936936 | Trinity Clinic | Clinic/Center | 500 N Marshall St, Henderson, TX 75652-5932 | 2010-02-02 |
| 1639345952 | The Grove Primary Care Clinic LLC | Clinic/Center | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 | 2008-05-06 |
| 1760676613 | Trinity Clinic | Clinic/Center | 511 N High St, Henderson, TX 75652-5985 | 2007-09-04 |
| 1942779509 | West Tennessee Primary Care, LLC | Clinic/Center | 557 W Park Pl, Henderson, TN 38340-2027 | 2018-11-13 |
| 1952800310 | Henderson Hospital, LLC | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-12 |
| 1073906616 | Apex Cardiology PC | Clinic/Center | 557 W Park Pl, Henderson, TN 38340-2027 | 2015-03-06 |
| 1376777649 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1245464536 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1891929840 | Kentucky Homecare of Henderson, LLC | Clinic/Center | 505 Klutey Park Plaza Dr, Suite A, Henderson, KY 42420-5224 | 2009-05-06 |
| Find all providers in HENDERSON | ||||
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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.