AUGUSTA REGIONAL FREE CLINIC, INC. (NPI# 1154567683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154567683 |
| Entity Type | Organization |
| Organization Name | AUGUSTA REGIONAL FREE CLINIC, INC. |
| Practice Address |
342 Mule Academy Rd Fishersville VA 22939-2256 |
| Mailing Address |
342 Mule Academy Rd P.o. Box 153 Fishersville VA 22939-2256 |
| Practice Telephone | 5403325606 |
| Practice Fax Number | 5403325610 |
| Mailing Telephone | 5403325606 |
| Mailing Fax Number | 5403325610 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | MS. MARGARET A HERSH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5403325611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
342 MULE ACADEMY RD |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477521086 | James Herron Edwards | Anesthesiology | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2006-03-09 |
| 1609420330 | Erika Kancler | Family Medicine | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2019-07-31 |
| 1376075283 | Augusta Regional Clinic Pharmacy | Pharmacy | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2017-03-30 |
| 1629214853 | John Robert Talbert | Specialist | 342 Mule Academy Rd, Augusta Regional Free Clinic, Fishersville, VA 22939-2256 | 2008-12-17 |
| 1740433747 | Kimberly O'bryan Powell | Physician Assistant | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2008-11-04 |
| 1881844413 | Elizabeth K Collins | Dentist | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2008-09-18 |
| 1659325793 | Jo Anne Brown | Nurse Practitioner | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2006-05-22 |
| 1548223753 | Augusta Regional Dental Clinic | Dentist | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Find all providers with the same taxonomy | ||||
| City | FISHERSVILLE |
| Zip Code | 22939 |
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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.