JOHNSON HEALTH CENTER (NPI# 1881102655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881102655 |
Entity Type | Organization |
Organization Name | JOHNSON HEALTH CENTER |
Other Organization Name | RUSTBURG COMMUNITY HEALTH CENTER |
Practice Address |
925 Village Hwy Rustburg VA 24588-4591 |
Mailing Address |
134 Elon Rd Madison Heights VA 24572-2536 |
Practice Telephone | 4345280005 |
Practice Fax Number | 4345280004 |
Mailing Telephone | 4344552480 |
Mailing Fax Number | 4344552487 |
Enumeration Date | 2018-01-16 |
Last Update Date | 2018-01-29 |
Authorized Official Name | GARY CAMPBELL (CEO) |
Authorized Official Telephone | 4344552480 |
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 |
---|---|
Rustburg Community Health Center | 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 |
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 |
1962709287 | Johnson Health Center | Pharmacy | 320 Federal St, Lynchburg, VA 24504-2306 | 2011-02-23 |
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 |
925 VILLAGE HWY |
City | RUSTBURG |
State | VA |
Zip Code | 24588-4591 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487639878 | Gertrude K Shahady | Family Medicine | 925 Village Hwy, Rustburg, VA 24588-4591 | 2005-12-08 |
1912549148 | Kimberly Steger | Counselor | 925 Village Hwy, Rustburg, VA 24588-4591 | 2019-10-09 |
1528442399 | Tamara Tinnin | Nurse Practitioner | 925 Village Hwy, Rustburg, VA 24588 | 2015-07-11 |
1407936941 | Central Virginia Family Physicians, Inc | Family Medicine | 925 Village Hwy, Rustburg, VA 24588-4591 | 2006-10-17 |
1285697359 | Ruth Patterson | Nurse Practitioner | 925 Village Hwy, Rustburg, VA 24588-4591 | 2006-04-10 |
1710951785 | Joel M Burroughs | Family Medicine | 925 Village Hwy, Rustburg, VA 24588-4591 | 2006-02-15 |
1659350544 | Kenneth Swanson | Nurse Practitioner | 925 Village Hwy, Rustburg, VA 24588-4591 | 2006-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972026250 | Joseph Allen Driskill | Driver | 137 Rhonda Rd., Rustburg, VA 24588 | 2017-07-19 |
1255881553 | Catherine So | Health Educator | 1671 Village Hwy, Rustburg, VA 24588 | 2016-10-11 |
1891919544 | Chris Hancock | Physical Therapist | 1051 Unit J Village Highway, Rustburg, VA 24588 | 2007-04-12 |
1457476483 | David Ware Riley | Dentist | 1052 Village Hwy, Rustburg, VA 24588 | 2007-03-20 |
1447399217 | Patrick M Todd | Dentist | 1052 Village Highway, Rustburg, VA 24588 | 2007-02-06 |
1205949773 | Campbell County Board of Supervisors | Ambulance | 34 Communications Lane, Rustburg, VA 24588 | 2006-08-17 |
1710949771 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 116 Kabler Lane, Rustburg, VA 24588 | 2006-04-05 |
1295073963 | Patrick M Todd, Dds Inc | Dentist | 1052 Village Hwy, Rustburg, VA 24588 | 2013-01-30 |
1912913344 | George Roger Akers | Pharmacist | 767 Village Highway, Rustburg, VA 24588-0186 | 2006-07-31 |
1548383235 | Allied Community Pharmacy | Pharmacy | 767 Village Highway, Rustburg, VA 24588-0186 | 2007-04-09 |
Find all providers in zip 24588 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.