ROCKBRIDGE AREA FREE CLINIC (NPI# 1205267002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205267002 |
| Entity Type | Organization |
| Organization Name | ROCKBRIDGE AREA FREE CLINIC |
| Other Organization Name | ROCKBRIDGE AREA HEALTH CENTER |
| Practice Address |
25 Northridge Ln Lexington VA 24450-3399 |
| Practice Telephone | 5404648700 |
| Practice Fax Number | 5404641323 |
| Mailing Telephone | (540) 464-8700 |
| Mailing Fax Number | 5404641323 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | VALERIE SUZANNE SHERIDAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5404648700 |
| 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 |
|---|---|
| Rockbridge Area Health Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2131 Magnolia Ave, Buena Vista, VA 244163111 | 5404648700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823502 | Rockbridge Area Free Clinic | Clinic/Center | 2131 Magnolia Ave, Buena Vista, VA 24416-3111 | 2017-07-14 |
| Street Address |
25 NORTHRIDGE LN |
| City | LEXINGTON |
| State | VA |
| Zip Code | 24450-3399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558345066 | James M. Kennedy Jr. | Pediatrics | 25 Northridge Ln, Lexington, VA 24450-3399 | 2005-11-30 |
| 1558971531 | Kathleen Carew Lamontagne | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2020-08-05 |
| 1528620374 | Denise Oinonen | Social Worker | 25 Northridge Ln, Lexington, VA 24450-3399 | 2019-07-02 |
| 1992369417 | Jeremy Ray Lovelace | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2019-04-30 |
| 1649757691 | Hamzeh Al Qublan | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2018-07-23 |
| 1619409166 | Bethany Ellen Elza | Family Medicine | 25 Northridge Ln, Lexington, VA 24450-3399 | 2017-04-03 |
| 1366864563 | Zachary Ross Taylor | Counselor | 25 Northridge Ln, Lexington, VA 24450-3399 | 2014-01-08 |
| 1821424698 | Helen Knight Farrar | Social Worker | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-09-24 |
| 1629319694 | Jamie Chapman Clark | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-03-15 |
| 1295090892 | Erin Farabaugh Cassilly | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2012-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
| 1598213340 | Elizabeth Larock | Contractor | 712 N. Main Street, Lexington, VA 24450 | 2016-09-21 |
| 1861872343 | Dominique Boone Tarber | Psychologist | 309 Letcher Avenue, Virginia Military Institute, Lexington, VA 24450 | 2015-06-01 |
| 1407254147 | Americare Plus, LLC. | In Home Supportive Care | 155 South Main Street, Lexington, VA 24450 | 2014-12-11 |
| 1710242219 | Matthew Earle Bryant | Family Medicine | 146 S Main St Ste 3, Lexington, VA 24450 | 2012-07-10 |
| 1861778391 | Marco Giuliani | Specialist/Technologist | 508 Brooke Lane, Clarkson-mckenna Hall, Lexington, VA 24450 | 2011-10-28 |
| 1356668552 | Chad Joseph Kelland | Psychologist | 129 S Randolph St Ste 1, Lexington, VA 24450 | 2010-04-27 |
| 1972744779 | Kelly Lynne Mcmullen | Specialist/Technologist | 215 Cameron Hall, Virginia Military Institute, Lexington, VA 24450 | 2009-03-09 |
| 1669621835 | Rebecca Lowry | Specialist/Technologist | 200 Washington Ave, Lexington, VA 24450 | 2008-09-12 |
| 1205929114 | Scott Brian Dubit | Family Medicine | 650 N. Lee Highway, Suite 2, Lexington, VA 24450 | 2006-10-02 |
| Find all providers in zip 24450 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
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| 1982002549 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2309 Aull Ln, Lexington, MO 64067 | 2014-12-15 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1831386192 | Eastern Kentucky University | Clinic/Center | 151 N Eagle Creek, Suite 220, Lexington, KY 40509-1892 | 2007-10-01 |
| 1164614053 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 811 S Business Highway 13 Ste A, Lexington, MO 64067 | 2007-08-14 |
| 1164460051 | Eastern Kentucky University | Clinic/Center | 1306 Versailles Rd, Suite 120, Lexington, KY 40504-1117 | 2006-06-03 |
| 1053951756 | Gaston Family Health Services, Inc | Clinic/Center | 32 Kirkwood Ave, Lexington, NC 27292-4024 | 2020-01-10 |
| Find all providers in LEXINGTON | ||||
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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.