FREDERICKSBURG COMMUNITY HEALTH CENTER, P.C. (NPI# 1154586493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154586493 |
| Entity Type | Organization |
| Organization Name | FREDERICKSBURG COMMUNITY HEALTH CENTER, P.C. |
| Practice Address |
Tan & Chestnut St Box 9 Fredericksburg PA 17026 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7178656644 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD039873 | PA | Suppliers |
| Street Address |
TAN & CHESTNUT ST BOX 9 |
| City | FREDERICKSBURG |
| State | PA |
| Zip Code | 17026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877234 | Healthstat Health Center Bell & Evans Plant 2 | Preventive Medicine | 2929 Us 22, Fredericksburg, PA 17026 | 2020-10-06 |
| 1073995312 | Jeremy David Stevens | Student in an Organized Health Care Education/Training Program | 345 School Dr, Fredericksburg, PA 17026 | 2015-06-23 |
| 1164826939 | Jennifer Ransil | Marriage & Family Therapist | 122 S. Tan Ally, Fredericksburg, PA 17026 | 2014-10-22 |
| 1376645507 | Fredericksburg Dental Center, LLC | Dentist | 120 South Tan Street, Fredericksburg, PA 17026 | 2006-09-01 |
| 1215927322 | Fredericksburg Community Health Center PC | Family Medicine | 120 S. Tan St., Suite 1, Fredericksburg, PA 17026 | 2005-10-28 |
| 1649626094 | Zachary Zerbe | Contractor | 345 School Dr, Fredericksburg, PA 17026 | 2016-05-04 |
| 1154462539 | Andrew Thomas Stewart | Dentist | 120 South Tan Street, Fredericksburg, PA 17026 | 2007-02-09 |
| 1235270919 | Daniel Francis Martel | Dentist | 120 South Tan Street, Fredericksburg, PA 17026 | 2007-02-08 |
| 1346624152 | Melissa Marie Pruner | Physician Assistant | 120 S Tan Street, Suite 1, Fredericksburg, PA 17026-0009 | 2015-07-13 |
| 1881656023 | Carol D Sears | Family Medicine | 120 S. Tan St., Suite 1, Fredericksburg Community Health Center PC, Fredericksburg, PA 17026-0009 | 2006-04-04 |
| Find all providers in zip 17026 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861877581 | Orthopedic Specialty Clinic, Ltd | Non-Pharmacy Dispensing Site | 9530 Cosner Dr, Suite 100, Fredericksburg, VA 22408-7760 | 2015-07-23 |
| 1194040766 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 3031 Plank Rd, Fredericksburg, VA 22401-4951 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 17026 |
Please comment or provide details below to improve the information on FREDERICKSBURG COMMUNITY HEALTH CENTER, P.C..
| 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.