MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS (NPI# 1689182164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689182164 |
| Entity Type | Organization |
| Organization Name | MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS |
| Other Organization Name | RIDGEWAY FAMILY HEALTH |
| Practice Address |
4944 Greensboro Rd Ridgeway VA 24148-3390 |
| Practice Telephone | 2679562233 |
| Practice Fax Number | 2769561629 |
| Mailing Telephone | 2679562233 |
| Mailing Fax Number | 2769561629 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | BARBARA A JACKMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2764035099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ridgeway Family Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063608081 | Martinsville Henry County Coalition for Health and Wellness | Clinic/Center | 324 T B Stanley Hwy, Bassett, VA 24055-6108 | 2007-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS | 22 E Church Street, Suite 311, Martinsville, VA 24112-6208 |
| Virginia Business Entities | Martinsville Henry County Coalition For Health And Wellness | 22 E Church St, Martinsville, Virginia 24112 |
| Street Address |
4944 GREENSBORO RD |
| City | RIDGEWAY |
| State | VA |
| Zip Code | 24148-3390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417915547 | Michael G Waters | Family Medicine | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2006-05-01 |
| 1619524527 | Fred Allen Smith Jr. | Nurse Practitioner | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2019-08-25 |
| 1477094480 | Joanna Lynn Carter | Nurse Practitioner | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2017-03-10 |
| 1689034514 | Amanda L Keith | Nurse Practitioner | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2016-03-04 |
| 1073751053 | Alisa Mashanda Branch | Counselor | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2009-01-28 |
| 1154407732 | George Randolph Martin | Psychiatry & Neurology | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1710532536 | Breaudrea Scales | Case Manager/Care Coordinator | 19 Wickersham Road, Ridgeway, VA 24148 | 2019-08-08 |
| 1780824664 | Horsepasture Rescue Squad, Inc | Ambulance | 18287 A.l. Philpott Hwy, Ridgeway, VA 24148 | 2009-03-04 |
| 1073713137 | Ridgeway District Rescue Squad Inc. | Ambulance | 108 Magnolia Street, Ridgeway, VA 24148-0611 | 2007-07-18 |
| 1467775007 | Vanessa Mizelle Eggleston | Occupational Therapy Assistant | 77 Spartan Cir, Ridgeway, VA 24148-2900 | 2010-03-10 |
| 1033699806 | Vivian Galloway Hairston | Case Manager/Care Coordinator | 195 Huntington Rd, Ridgeway, VA 24148-3028 | 2018-08-20 |
| 1356741771 | Jennifer Royster | Occupational Therapy Assistant | 407 Marhill Dr, Ridgeway, VA 24148-3122 | 2014-09-04 |
| 1962995340 | K&m Care Solutions LLC | Home Health | 6591 Greensboro Rd, Ridgeway, VA 24148-3278 | 2018-06-11 |
| 1851332662 | Ridgeway Family Pharmacy, Inc. | Pharmacy | 6581 Greensboro Rd, Ridgeway, VA 24148-3278 | 2006-06-10 |
| 1396070280 | Family Preservation Services, Inc | Community/Behavioral Health | 45 Drewry Mason School Rd, Ridgeway, VA 24148-3279 | 2009-10-09 |
| Find all providers in zip 24148 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760703250 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 755 Us Highway 21 S, Ridgeway, SC 29130-6844 | 2010-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750937009 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 182 Shire Ln, North Tazewell, VA 24630-5044 | 2019-08-13 |
| 1649825092 | The Daily Planet Inc | Clinic/Center | 1532 High St, Richmond, VA 23220-2314 | 2019-08-02 |
| 1093367732 | Peninsula Institute for Community Health Inc | Clinic/Center | 7401 Warwick Blvd, Newport News, VA 23607-1515 | 2019-07-12 |
| 1538725668 | Peninsula Institute for Community Health Inc | Clinic/Center | 9294 Warwick Blvd, Newport News, VA 23607-1535 | 2019-05-14 |
| 1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
| 1427560242 | Neighborhood Health | Clinic/Center | 5000 Polk Ave, Alexandria, VA 22304-1908 | 2017-11-02 |
| 1679084297 | Neighborhood Health | Clinic/Center | 8100 Fordson Rd, Alexandria, VA 22306-3128 | 2017-10-23 |
| 1396256087 | Neighborhood Health | Clinic/Center | 1501 Cameron St, Alexandria, VA 22314-2702 | 2017-10-20 |
| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| 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.