JOHNSON HEALTH CENTER (NPI# 1821212481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821212481 |
| Entity Type | Organization |
| Organization Name | JOHNSON HEALTH CENTER |
| Other Organization Name | LYNCHBURG WOMEN'S AND PEDIATRIC HEALTH SERVICES |
| Practice Address |
2402 Atherholt Rd Lynchburg VA 24501-2148 |
| Mailing Address |
134 Elon Road Madison Heights VA 24572 |
| Practice Telephone | 4342006401 |
| Practice Fax Number | 4345282639 |
| Mailing Telephone | (434) 455-2480 |
| Mailing Fax Number | 4344552487 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | GARY CAMPBELL (CEO) |
| Authorized Official Telephone | 4344552480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010256704 | 05 |
| Other Name | Type Code |
|---|---|
| Lynchburg Women's and Pediatric Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760710 | Johnson Health Center | Clinic/Center | 239 Trojan Lane, Madison Heights, VA 24572-5346 | 2008-05-09 |
| 1467570168 | Johnson Health Center | Clinic/Center | 104 Carolina Avenue, Brookneal, VA 24528 | 2007-03-27 |
| 1154888675 | Johnson Health Center | Pharmacy | 582 Blue Ridge Ave, Bedford, VA 24523-2604 | 2019-02-21 |
| 1346748019 | Johnson Health Center | Clinic/Center | 620 Court St, Lynchburg, VA 24504-1312 | 2018-01-29 |
| 1881102655 | Johnson Health Center | Clinic/Center | 925 Village Hwy, Rustburg, VA 24588-4591 | 2018-01-16 |
| 1508231036 | Johnson Health Center | Clinic/Center | 200 Amelon Sq, Madison Heights, VA 24572-5981 | 2015-12-09 |
| 1609203538 | Johnson Health Center | Clinic/Center | 582 Blue Ridge Ave, Bedford, VA 24523-2604 | 2013-10-10 |
| 1710314653 | Johnson Health Center | Clinic/Center | 407 Federal St, Lynchburg, VA 24504-2306 | 2013-10-10 |
| 1609203652 | Johnson Health Center | Dentist | 600 Bedford Ave, Bedford, VA 24523-2452 | 2013-10-07 |
| 1972858660 | Johnson Health Center | Clinic/Center | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2012-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | JOHNSON HEALTH CENTER | 134 Elon Road, Madison Heights, Virginia 24572 |
| Indiana Business Entities | JOHNSON HEALTH CENTER INC. | 114 N. Calumet Road, Chesterton, IN 46304 |
| Street Address |
2402 ATHERHOLT RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336121052 | William A Cook IIi | Obstetrics & Gynecology | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-17 |
| 1134728256 | Emily Anne Ledbetter | Nurse Practitioner | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-10-20 |
| 1881240315 | Alexandra Elizabeth Kowker | Physician Assistant | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-08-12 |
| 1750865309 | Molly Ann Read Jones | Physician Assistant | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-09-19 |
| 1982117115 | Marcy Kincaide Hoath | Physician Assistant | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2017-11-09 |
| 1205289568 | Tana Mccoull | Nurse Practitioner | 2402 Atherholt Rd, Lynchburg, VA 24501 | 2016-07-21 |
| 1952703613 | Megan Tyler Wheatley Humphreys | Registered Nurse | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2014-09-24 |
| 1114328200 | Meghann Bowyer | Nurse Practitioner | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2014-09-09 |
| 1578983854 | Jessica Marie Butala | Psychiatry & Neurology | 2402 Atherholt Rd, Lynchburg, VA 24501 | 2014-04-24 |
| 1770747214 | Susan Marie Warren | Nurse Practitioner | 2402 Atherholt Rd, Lynchburg, VA 24501 | 2008-07-14 |
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| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
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| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1780058628 | Community Access Network | Clinic/Center | 800 5th Street Suite A, Lynchburg, VA 24504 | 2015-11-16 |
| 1952803595 | Highland Health Providers Corp | Clinic/Center | 8900 State Route 134, Lynchburg, OH 45142-9272 | 2018-02-28 |
| 1346748019 | Johnson Health Center | Clinic/Center | 620 Court St, Lynchburg, VA 24504-1312 | 2018-01-29 |
| 1710314653 | Johnson Health Center | Clinic/Center | 407 Federal St, Lynchburg, VA 24504-2306 | 2013-10-10 |
| 1316926538 | Johnson Health Center | Clinic/Center | 320 Federal St, Lynchburg, VA 24504-2306 | 2006-01-16 |
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| 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 |
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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.