THE FREE CLINIC OF ROCKINGHAM COUNTY, INC (NPI# 1861733669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861733669 |
| Entity Type | Organization |
| Organization Name | THE FREE CLINIC OF ROCKINGHAM COUNTY, INC |
| Practice Address |
315 S. Main Street Reidsville NC 27320 |
| Mailing Address |
314 S. Main Street Reidsville NC 27320 |
| Practice Telephone | 3363493220 |
| Practice Fax Number | 3363493229 |
| Mailing Telephone | 3363493220 |
| Mailing Fax Number | 3363493229 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2014-01-30 |
| Authorized Official Name | AMANDA LEA GARD (PRACTICE MANAGER) |
| Authorized Official Telephone | 3363493220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
315 S. MAIN STREET |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| 1619254901 | Joshua Ashton Sheets | Social Worker | 621 S Main St Ste 200, Reidsville, NC 27320 | 2011-11-15 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460603 | Fonshaunna Alston | Clinic/Center | 107 Grandimere Ct, Durham, NC 27703-9613 | 2020-09-04 |
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1790306819 | Aeroflow Connect LLC | Clinic/Center | 3165 Sweeten Creek Rd, Asheville, NC 28803-2115 | 2020-04-29 |
| 1811518244 | Haven Total Wellness, Pllc | Clinic/Center | 149 Woodlawn St Suite C, West End, NC 27376 | 2020-04-27 |
| 1073156931 | Coastal Carolina Primary Care, Pllc | Clinic/Center | 15441 Us Highway 17 N Ste 501, Hampstead, NC 28443-0016 | 2019-10-23 |
| 1396303178 | Chiroduo | Clinic/Center | 6816 Ray Rd, Raleigh, NC 27613-3237 | 2019-06-05 |
| 1780147108 | Legacy Health Pa | Clinic/Center | 3049 Senna Dr, Matthews, NC 28105-6727 | 2019-04-11 |
| 1114496502 | Acupuncture Balanced Health | Clinic/Center | 112 Perkins Dr Ste 200, Chapel Hill, NC 27514-1786 | 2018-11-15 |
| 1972071884 | Our Health Lab Inc | Clinic/Center | 1411 Asheville Hwy, Hendersonville, NC 28791-2301 | 2018-11-08 |
| 1679041552 | Serenity Rehabilitation Services | Clinic/Center | 2216 W Meadowview Rd Ste 201, Greensboro, NC 27407-3401 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on THE FREE CLINIC OF ROCKINGHAM COUNTY, INC.
| 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.