CHASE CITY PRIMARY CARE CENTER, LLC (NPI# 1669411914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669411914 |
| Entity Type | Organization |
| Organization Name | CHASE CITY PRIMARY CARE CENTER, LLC |
| Practice Address |
200 E 5th St Chase City VA 23924-1456 |
| Practice Telephone | 4343720900 |
| Practice Fax Number | 4343728681 |
| Mailing Telephone | 4343720900 |
| Mailing Fax Number | 4343728681 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | KENNETH LIBBY JR. (VP OF FINANCE & CFO) |
| Authorized Official Telephone | 4347742400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010288134 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790739761 | Chase City Primary Care Center, LLC | Family Medicine | 200 E 5th St, Chase City, VA 23924-1456 | 2006-05-22 |
| Street Address |
200 E 5TH ST |
| City | CHASE CITY |
| State | VA |
| Zip Code | 23924-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578029609 | Stacy Davis | Nurse Practitioner | 200 E 5th St, Chase City, VA 23924-1456 | 2019-02-13 |
| 1790266401 | Jenea Danielle Bennett-talley | Nurse Practitioner | 200 E 5th St, Chase City, VA 23924-1456 | 2018-08-22 |
| 1033566153 | Mary Rose Jayme | Nurse Practitioner | 200 E 5th St, Chase City, VA 23924-1456 | 2016-05-18 |
| 1790739761 | Chase City Primary Care Center, LLC | Family Medicine | 200 E 5th St, Chase City, VA 23924-1456 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209647 | Miranda Fields | Nurse Practitioner | 5539 Va-47, Chase City, VA 23924 | 2019-11-13 |
| 1174746390 | Cheryl Evans Lard | Occupational Therapist | 5339 Hwy 47, Chase City, VA 23924 | 2007-04-10 |
| 1114067642 | Fw Richards Jr Inc | Pharmacy | 932 North Main St, Chase City, VA 23924 | 2007-02-07 |
| 1063581593 | William Lynn Thomas | Dentist | 237 E. 5th Street, Chase City, VA 23924 | 2006-11-07 |
| 1689772238 | Dominion Health Medical Assoc | Legal Medicine | 946 N. Main St, Chase City, VA 23924 | 2006-09-20 |
| 1912957929 | Chase City Rescue Squad, Inc. | Emergency Medical Technician, Intermediate | 335 Mecklenburg Drive, Chase City, VA 23924 | 2006-05-11 |
| 1124566070 | Being A Blessing Consulting Agency, LLC | Home Health | 518 N Main St, Chase City, VA 23924 | 2017-02-10 |
| 1457748600 | Save Our Future Inc | Health Maintenance Organization | 921 N. Main Street, Chase City, VA 23924 | 2015-04-24 |
| 1912420167 | Reliable Transportation Service LLC | Non-emergency Medical Transport (VAN) | 568 N Washington St, Chase City, VA 23924-1107 | 2017-07-19 |
| 1780230649 | Mark Joseph Hairston | Pharmacist | 610 N Main St, Chase City, VA 23924-1133 | 2019-08-15 |
| Find all providers in zip 23924 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001539 | Halifax Regional Hospital, Inc | Clinic/Center | 946 N Main St, Chase City, VA 23924-1139 | 2020-07-28 |
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|---|---|---|---|---|
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| 1154948271 | Carilion Giles Community Hospital | Clinic/Center | 22890 Virgil Goode Hwy., Boones Mill, VA 24065 | 2020-07-06 |
| 1760008387 | Carilion Healthcare Corporation | Clinic/Center | 22890 Virgil H Goode Highway, Boones Mill, VA 24065 | 2020-06-19 |
| 1457840183 | Warren Memorial Hospital, Inc. | Clinic/Center | 315 W 10th St Ste 1, Front Royal, VA 22630-2812 | 2018-05-08 |
| 1154857019 | Bath County Community Hospital | Clinic/Center | 713 S Monroe Ave, Covington, VA 24426-1832 | 2017-05-11 |
| 1891154019 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 121 Stacy Dr, Pennington Gap, VA 24277-1929 | 2016-02-16 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1487818902 | St. Mary's Health Wagon | Clinic/Center | 233 Chase St., Clintwood, VA 24228 | 2008-07-14 |
| 1609054733 | Mountain States Health Alliance | Clinic/Center | 16431 Wise Street, Saint Paul, VA 24283-3537 | 2008-01-31 |
| 1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
| City | CHASE CITY |
| Zip Code | 23924 |
Please comment or provide details below to improve the information on CHASE CITY PRIMARY CARE CENTER, LLC.
| 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.