DISTRICT THREE GOVERNMENTAL COOPERATIVE (NPI# 1376083634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376083634 |
| Entity Type | Organization |
| Organization Name | DISTRICT THREE GOVERNMENTAL COOPERATIVE |
| Practice Address |
4453 Lee Hwy Marion VA 24354-4269 |
| Practice Telephone | 2767838157 |
| Practice Fax Number | 2767833003 |
| Mailing Telephone | 2767838157 |
| Mailing Fax Number | 2767833003 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | MR. MIKE GUY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2767838157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0087402670 | 05 |
| Street Address |
4453 LEE HWY |
| City | MARION |
| State | VA |
| Zip Code | 24354-4269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962032565 | Eric Shane Farris | Case Manager/Care Coordinator | 567 Middle Fork Rd, Marion, VA 24354-6120 | 2020-01-22 |
| 1063984367 | Kylee Noel James | Case Manager/Care Coordinator | 570 Garden Pl, Marion, OH 43302-5862 | 2018-12-27 |
| 1861982043 | Paul Hawkins | Case Manager/Care Coordinator | 1170 Brookside Rd, Marion, OH 43302-5900 | 2018-05-14 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1124546700 | Alysha Hebert | Case Manager/Care Coordinator | 21 Briggs Terrace, Marion, MA 02738 | 2017-09-05 |
| 1578931812 | Antonio Mcrae | Case Manager/Care Coordinator | 122 Manning St, Marion, SC 29571 | 2015-09-03 |
| 1194135566 | Brandi Nicole Bragg | Case Manager/Care Coordinator | 531 Par Dr Apt 9, Marion, AR 72364-1666 | 2014-05-06 |
| 1881014272 | James Henderson Jr. | Case Manager/Care Coordinator | 2895 Hwy 77 S, Marion, AR 72364-2361 | 2014-04-24 |
| 1356548713 | Mcdowell County Dept. of Social Services | Case Manager/Care Coordinator | 145 E Court St, Marion, NC 28752-4042 | 2007-06-29 |
| 1578684247 | Melissa Gayle Myers | Case Manager/Care Coordinator | 6654 State Road 1668, Marion, KY 42064 | 2007-04-02 |
| Find all providers in MARION | ||||
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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.