APPALACHIAN MEDICAL ASSOCIATES LLC (NPI# 1740844067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740844067 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN MEDICAL ASSOCIATES LLC |
| Practice Address |
5453 Gov. G.c. Peery Hwy Suite 1 Raven VA 24639 |
| Mailing Address |
Po Box 884 Raven VA 24639 |
| Practice Telephone | 2762454433 |
| Practice Fax Number | 2763454424 |
| Mailing Telephone | 2763454433 |
| Mailing Fax Number | 2763454424 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Authorized Official Name | JORDAN COMPTON (OWNER) |
| Authorized Official Telephone | 8658038372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Appalachian Medical Associates LLC | 5453 Gov. G C Peery Hwy, Raven, Virginia 24639 |
| Street Address |
5453 GOV. G.C. PEERY HWY SUITE 1 |
| City | RAVEN |
| State | VA |
| Zip Code | 24639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437471281 | Family Preservation Services, Inc | Community/Behavioral Health | 22 School Street, Raven, VA 24639 | 2010-02-22 |
| 1497843346 | Kenneth Edward Anselmi | Ophthalmology | 5453 Governor Gc Peery Hwy, Raven, VA 24639 | 2006-10-10 |
| 1619061819 | Richlands Pharmacy Associates Inc | Pharmacy | 419 Raven Rd, Raven, VA 24639 | 2006-10-03 |
| 1922091578 | Chores and Errands Ambulance Inc | Ambulance | 4578 Cc Peery Hwy, Raven, VA 24639 | 2005-08-30 |
| 1134120967 | Yoon Mo Myung | Ophthalmology | 5453 Governor C Peery Highway, Raven, VA 24639 | 2005-08-02 |
| 1043418783 | Yoon Mo Myung Md LLC | Ophthalmology | 5453 Governor C Peery Highway, Raven, VA 24639 | 2007-07-03 |
| 1821187949 | Leonard Daniel Harris | Pharmacist | 419 Raven Rd, Raven, VA 24639 | 2006-10-12 |
| 1780773804 | Catherine B. Harris | Pharmacist | 419 Raven Rd, Raven, VA 24639 | 2006-10-12 |
| 1982623385 | Margaret J Gregorczyk | Family Medicine | 5453 Governor G C Peery Hwy, Raven, VA 24639-9533 | 2006-07-18 |
| 1437449220 | Legacy Ambulance LLC | Ambulance | 5453 Governor G C Peery Hwy, Raven, VA 24639-9533 | 2011-04-13 |
| Find all providers in zip 24639 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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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.