BOYDTON COMMUNITY HEALTH FACILITY, INC. (NPI# 1255319661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255319661 |
Entity Type | Organization |
Organization Name | BOYDTON COMMUNITY HEALTH FACILITY, INC. |
Other Organization Name | HEALTHCARE ON THE SQUARE |
Practice Address |
380 Washington Street Boydton VA 23917-0540 |
Mailing Address |
P.o. Box 540 Boydton VA 23917-0540 |
Practice Telephone | 4347386102 |
Practice Fax Number | 4347386982 |
Mailing Telephone | 4347386102 |
Mailing Fax Number | 4347386982 |
Enumeration Date | 2006-01-05 |
Last Update Date | 2009-07-30 |
Authorized Official Name | MS. ANGELA N MILLER (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 4347386102 |
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 | 007691092 | 05 |
Other Name | Type Code |
---|---|
Healthcare on the Square | Doing Business As Name - Organization |
Street Address |
380 WASHINGTON STREET |
City | BOYDTON |
State | VA |
Zip Code | 23917-0540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043652985 | Piedmont Access To Health Services Inc | Clinic/Center | 380 Washington Street, Boydton, VA 23917 | 2013-07-19 |
1972861151 | Piedmont Access To Health Services Inc | Clinic/Center | 380 Washington Street, Boydton, VA 23917-3408 | 2012-04-25 |
1417982133 | Lina Sue Crowder | Family Medicine | 380 Washington Street, Boydton, VA 23917 | 2006-07-11 |
1912931536 | Linda Ray Montgomery | Counselor | 380 Washington Street, Boydton, VA 23970 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194982595 | Boydton Community Health Facility, Inc | Clinic/Center | 1321 Jefferson Street, Boydton, VA 23917 | 2008-05-22 |
1851579130 | Moira R Hurley | Internal Medicine | 380 Washington St., Boydton, VA 23917 | 2008-02-08 |
1053454058 | Charles Joseph Devine IIi | Preventive Medicine | 434 Washington St., Boydton, VA 23917 | 2007-02-15 |
1285726133 | Robin H. Jennings | Dental Hygienist | 1329 Jefferson Street, Boydton, VA 23917 | 2006-09-29 |
1588678098 | Angela Poythress | Counselor | 523 Madison St., Boydton, VA 23917 | 2006-07-28 |
1407860158 | Jan Skibinski | Pharmacist | 390 Washington Street, Boydton, VA 23917 | 2006-07-28 |
1285652057 | Jan L Hundley | Counselor | 1237 Jefferson St, Boydton, VA 23917 | 2006-07-18 |
1710938576 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 969 Madison St, Boydton, VA 23917 | 2006-05-15 |
1104880582 | Boydton Community Pharmacy | Pharmacy | 390 Washington St, Boydton, VA 23917 | 2006-04-13 |
1578526083 | Elaine M Cole | Social Worker | 523 Madison Street, Boydton, VA 23917 | 2006-04-07 |
Find all providers in zip 23917 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043652985 | Piedmont Access To Health Services Inc | Clinic/Center | 380 Washington Street, Boydton, VA 23917 | 2013-07-19 |
1972861151 | Piedmont Access To Health Services Inc | Clinic/Center | 380 Washington Street, Boydton, VA 23917-3408 | 2012-04-25 |
1114184546 | Boydton Community Health Facility Inc | Clinic/Center | 1329 Jefferson Street, Boydton, VA 23917 | 2008-05-22 |
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1679084297 | Neighborhood Health | Clinic/Center | 8100 Fordson Rd, Alexandria, VA 22306-3128 | 2017-10-23 |
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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 |
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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.