FAMILY CARE CENTER (NPI# 1629406996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629406996 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CENTER |
| Practice Address |
1109 Plaza Dr Grundy VA 24614-6780 |
| Practice Telephone | 2769352677 |
| Practice Fax Number | 2769355775 |
| Mailing Telephone | 2769352677 |
| Mailing Fax Number | 2769355775 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | MICHELLE LEE HESS (OFFICE MANAGER) |
| Authorized Official Telephone | 2769352677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003013640 | Family Care Center | Case Management | 1970 E 17th St Ste 201, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1831396480 | Family Care Center | Community/Behavioral Health | 1970 E 17th St Ste 206, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1407877657 | Family Care Center | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2006-07-22 |
| 1922205574 | Family Care Center | Nurse Practitioner | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| 1700083342 | Family Care Center | Case Management | 1970 E 17th St Ste 206, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1992902530 | Family Care Center | Psychiatry & Neurology | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| 1275673089 | Family Care Center | Family Medicine | 941 Ocean Ave, Brooklyn, NY 11226-6715 | 2007-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY CARE CENTER | 2875 Highland Ave Ne, Hickory, NC 28601-8626 |
| Virginia Business Entities | FAMILY CARE CENTER INC. | 21556 Timberlake Road, Suite D, Lynchburg, Virginia 24502 |
| Virginia Business Entities | Family Care Center of Buchanan County LLC | Us Rte 460 West, Po Box 1440, Grundy, Virginia 24614 |
| Colorado Business Entities | Family Care Center, LLC | 2860 South Circle Dr, Suite100, Colorado Springs, CO 80906 |
| System for Award Management (SAM) Entities | FAMILY CARE CENTER, P.C. | 1001 Nw Canal Blvd Ste 101, Redmond, OR 97756-1697 |
| Oregon Corporations, Companies and Business Names | FAMILY CARE CENTER, P.C. | 1001 Canal Blvd Ste 101, Redmond, OR 97756 |
| Oklahoma Business Registrations | FAMILY CARE CENTERS OF OKLAHOMA, L.L.C. | 3621 Apollo, Po Box 72250 Corpus Christi Tx 78427 (mailing), Corpus Christi, TX 78413 |
| Oklahoma Business Registrations | FAMILY CARE CENTERS OF THE SOUTHWEST | 2222 Iowa Ave, Chickasha, OK 73018 |
| System for Award Management (SAM) Entities | FAMILY CARE CENTERS, INC | 206 E Brown St, East Stroudsburg, PA 18301-3006 |
| Street Address |
1109 PLAZA DR |
| City | GRUNDY |
| State | VA |
| Zip Code | 24614-6780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467791244 | Adam Craig Stiltner | Nurse Practitioner | 1109 Plaza Dr, Grundy, VA 24614-6780 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962425 | Leah Jessee | Nurse Practitioner | 1107 Riverview Street, Grundy, VA 24614 | 2018-11-27 |
| 1467989137 | Amanda Fletcher | Nurse Practitioner | 1298 Lick Log Road, Grundy, VA 24614 | 2017-05-12 |
| 1578800967 | Coetta Lynn Neece | Nurse Practitioner | 18334 Riverside Drive, Grundy, VA 24614 | 2013-01-07 |
| 1376894840 | Tina Michele Williams | Nurse Practitioner | 1520 Slate Creek Rd Suite 205, Grundy, VIRGINIA 24614 | 2012-09-25 |
| 1881980647 | Ngd Incorporated | Pharmacy | 1063 Edgewater Dr., Grundy, VA 24614 | 2011-06-21 |
| 1710291216 | Pamela D Harrison | Nurse Practitioner | 28567 Riverside Drive, Grundy, VA 24614 | 2010-07-27 |
| 1477889111 | Susan Buskill Fogg | Counselor | 19873 Riverside Drive, Grundy, VA 24614 | 2009-10-31 |
| 1336396043 | Maranda Gayle Fletcher-meadows | Speech-Language Pathologist | 5820 Slate Creek Road, Grundy, VA 24614 | 2008-08-25 |
| 1528282241 | Joshua P Sutherland Jr PC | Family Medicine | 20886 Riverside Drive, Grundy, VA 24614 | 2007-04-12 |
| 1043339989 | Grundy Internal Medicine, PC | Internal Medicine | 1532 Slate Creek Road, Ste 203, Grundy, VA 24614 | 2007-03-29 |
| Find all providers in zip 24614 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1982143343 | Emily Floode | Clinical Nurse Specialist | 8327 Terra Grande Ave, Springfield, VA 22153-3516 | 2017-02-17 |
| 1801271440 | Sara B Lark | Clinical Nurse Specialist | 111 Fashion Rd Ste D, Pounding Mill, VA 24637-1200 | 2015-07-24 |
| 1255514196 | Carmen M. Roaquin | Clinical Nurse Specialist | 3600 High St, Portsmouth, VA 23707-3236 | 2007-12-14 |
| 1225220411 | Mary Jo Lawrence | Clinical Nurse Specialist | 10696 Crestwood Dr Ste B, Manassas, VA 20109-4411 | 2007-08-13 |
| 1871071522 | Laszlo Vecsei | Clinical Nurse Specialist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-08-04 |
| 1487046702 | Rebecca Bulman | Clinical Nurse Specialist | 4510 Plank Rd, Ste 200, Fredericksburg, VA 22407-0138 | 2015-02-24 |
Please comment or provide details below to improve the information on FAMILY CARE CENTER.
| 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.