MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS (NPI# 1063608081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063608081 |
| Entity Type | Organization |
| Organization Name | MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS |
| Other Organization Name | BASSETT FAMILY PRACTICE |
| Practice Address |
324 T B Stanley Hwy Bassett VA 24055-6108 |
| Mailing Address |
22 E Church St Suite 311 Martinsville VA 24112-6208 |
| Practice Telephone | 2766291076 |
| Practice Fax Number | 2766292695 |
| Mailing Telephone | 2764035099 |
| Mailing Fax Number | 2766382669 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | BARBARA JACKMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2764035099 |
| 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 | 1063608081 | 05 |
| Other Name | Type Code |
|---|---|
| Bassett Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182164 | Martinsville Henry County Coalition for Health and Wellness | Clinic/Center | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2018-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS | 22 E Church Street, Suite 311, Martinsville, VA 24112-6208 |
| Virginia Business Entities | Martinsville Henry County Coalition For Health And Wellness | 22 E Church St, Martinsville, Virginia 24112 |
| Street Address |
324 T B STANLEY HWY |
| City | BASSETT |
| State | VA |
| Zip Code | 24055-6108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258237 | Elizabeth W Frith | Nurse Practitioner | 324 T B Stanley Hwy, Suite B and C, Bassett, VA 24055-6108 | 2006-01-04 |
| 1841666237 | Tracie Hampton | Nurse Practitioner | 324 T B Stanley Hwy, Bassett, VA 24055-6108 | 2015-08-19 |
| 1598022592 | Marlene Marie Adams | Nurse Practitioner | 324 T B Stanley Hwy, Bassett, VA 24055-6108 | 2012-04-13 |
| 1366710733 | Julia Paige Hodnett | Nurse Practitioner | 324 T B Stanley Hwy, Bassett, VA 24055-6108 | 2011-12-13 |
| 1588806244 | Kwamba E. Nkembe | General Practice | 324 T B Stanley Hwy, Bassett, VA 24055-6108 | 2009-03-27 |
| 1639310378 | Joseph Daniel Bryant | Occupational Therapy Assistant | 324 T B Stanley Hwy, Suite F, Bassett, VA 24055-6108 | 2009-03-10 |
| 1174734255 | John Albert Hagy Sr. | General Practice | 324 T B Stanley Hwy, Suites B & C, Bassett, VA 24055-6108 | 2007-05-24 |
| 1508928821 | Sharon L King | Family Medicine | 324 T B Stanley Hwy, Bassett, VA 24055-6108 | 2006-12-14 |
| 1154379451 | Rhonda K Clark | Nurse Practitioner | 324 T B Stanley Hwy, Bassett, VA 24055-6108 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267544 | Serita Danielle Willis | Private Vehicle | 2557 Willie Craig Road, Bassett, VA 24055 | 2018-03-06 |
| 1104237221 | Harder's Drugstore | Pharmacist | 3433 Fairystone, Bassett, VA 24055 | 2014-05-12 |
| 1164669628 | Bassett Rescue Squad Incorporated | Ambulance | 1950 Riverside Drive, Bassett, VA 24055 | 2009-01-20 |
| 1497839625 | William Harder | Pharmacist | 3433 Fairystone Park Hwy, Bassett, VA 24055 | 2006-10-24 |
| 1508929712 | Tony Allen Ramsey | Dentist | 15 Ridgewood Road, Bassett, VA 24055-1601 | 2006-12-18 |
| 1942380811 | David L. Morris | Dentist | 3441 Fairystone Park Hway, Bassett, VA 24055-1607 | 2006-10-16 |
| 1558444091 | Susan L. Morris | Dentist | 3441 Fairystone Park Hway, Bassett, VA 24055-1607 | 2006-10-20 |
| 1053858951 | Glenda's Cd Service | Case Management | 901 Graceland Dr, Bassett, VA 24055-3564 | 2017-01-30 |
| 1891933834 | Walter D Street | Contractor | 573 Mount Hermon Church Rd, Bassett, VA 24055-3569 | 2009-01-29 |
| 1851623045 | Kimberly Dawn Edwards | Physical Therapy Assistant | 282 Woodberry Rd, Bassett, VA 24055-3722 | 2010-02-12 |
| Find all providers in zip 24055 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.