TRI AREA COMMUNITY HEALTH (NPI# 1053442848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053442848 |
Entity Type | Organization |
Organization Name | TRI AREA COMMUNITY HEALTH |
Other Organization Name | TRI AREA COMMUNITY HEALTH AT FERRUM |
Practice Address |
180 Ferrum Mountain Rd Ferrum VA 24088-2939 |
Mailing Address |
Po Box 9 Laurel Fork VA 24352-0009 |
Practice Telephone | 5403654469 |
Practice Fax Number | 5403654272 |
Mailing Telephone | 2763982292 |
Mailing Fax Number | 2763983331 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-01-03 |
Authorized Official Name | JAMES WERTH JR. (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2763982292 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010355125 | 05 | |
VA | 1053442848 | 05 |
Other Name | Type Code |
---|---|
Tri Area Community Health at Ferrum | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376142281 | Tri Area Community Health | Clinic/Center | 6436 Troutdale Hwy, Troutdale, VA 24378-2023 | 2020-10-21 |
1194908491 | Tri Area Community Health | Clinic/Center | 140 Christiansburg Pike, Floyd, VA 24091 | 2007-12-10 |
1447390091 | Tri Area Community Health | Durable Medical Equipment & Medical Supplies | 14558 Danville Pike, Laurel Fork, VA 24352-0009 | 2007-02-06 |
1477619179 | Tri Area Community Health | Pharmacy | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2006-12-28 |
1780647461 | Tri Area Community Health | Pharmacy | 14558 Danville Pike, Laurel Fork, VA 24352-3758 | 2006-04-11 |
1346227584 | Tri Area Community Health | Clinic/Center | 14558 Danville Pike, Laurel Fork, VA 24352-3758 | 2005-12-29 |
Street Address |
180 FERRUM MOUNTAIN RD |
City | FERRUM |
State | VA |
Zip Code | 24088-2939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972507721 | Elizabeth H Hubbard | Nurse Practitioner | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2005-06-09 |
1700487345 | Emily Kaye Blalock | Nurse Practitioner | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2020-11-02 |
1699387464 | James Z Pate | Pharmacist | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2020-08-21 |
1023476207 | Brittany K Butler | Physician Assistant | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2016-02-03 |
1043658537 | Tri-area Community Health | Durable Medical Equipment & Medical Supplies | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2013-06-06 |
1104112986 | Jeremiah W Burkhart | Psychologist | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2011-06-21 |
1235376500 | Cynthia Denise Hernandez | Counselor | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2009-01-08 |
1477619179 | Tri Area Community Health | Pharmacy | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2006-12-28 |
1568448017 | April N Hazelwood | Physician Assistant | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2005-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164947388 | Martha Haley-bowling | Social Worker | 9249 Franklin St, Ferrum, VA 24088 | 2017-08-09 |
1063802890 | Ferrum College | Family Medicine | 590 Ferrum Mountain Rd, Hank Norton Center, Ferrum, VA 24088 | 2015-02-02 |
1639582331 | Gabriel Lee Edmondson | Family Medicine | 40 Wiley Dr, Ferrum, VA 24088 | 2014-06-10 |
1760633952 | Family Preservation Services, Inc | Community/Behavioral Health | 660 Ferrum Rd, Ferrum, VA 24088 | 2008-10-06 |
1982682571 | Bozenna M Liszka | Family Medicine | 40 Wiley Drive, Ferrum, VA 24088 | 2006-01-04 |
1245650100 | Jay Clark | Specialist/Technologist | 590 Ferrum Mountain Road, Ferrum, VA 24088 | 2014-04-18 |
1528251030 | Joel M. Hullett | Family Medicine | 40 Wiley Drive, Ferrum, VA 24088 | 2007-08-20 |
1215270681 | Brian Matthew Duclos | Specialist/Technologist | 590 Ferrum Mountain Road, Hank Norton Center, Ferrum, VA 24088-0775 | 2013-04-03 |
1669994059 | Sarah Nicole Hendrix | Specialist/Technologist | 590 Ferrum Mountain Rd., Ferrum, VA 24088-2408 | 2017-07-07 |
1447483128 | Michael Raymond Sechrist | Physical Therapy Assistant | 1000 Thompson Ridge Rd, Ferrum, VA 24088-2729 | 2009-08-28 |
Find all providers in zip 24088 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.