JOHNSON HEALTH CENTER (NPI# 1467570168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467570168 |
Entity Type | Organization |
Organization Name | JOHNSON HEALTH CENTER |
Other Organization Name | BROOKNEAL MEDICAL CENTER |
Practice Address |
104 Carolina Avenue Brookneal VA 24528 |
Practice Telephone | 4343762325 |
Practice Fax Number | 4343762081 |
Mailing Telephone | 4343762325 |
Mailing Fax Number | 4343762081 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JOHN SNIEZEK (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 4349475967 |
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 |
---|---|
Brookneal Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871760710 | Johnson Health Center | Clinic/Center | 239 Trojan Lane, Madison Heights, VA 24572-5346 | 2008-05-09 |
1154888675 | Johnson Health Center | Pharmacy | 582 Blue Ridge Ave, Bedford, VA 24523-2604 | 2019-02-21 |
1346748019 | Johnson Health Center | Clinic/Center | 620 Court St, Lynchburg, VA 24504-1312 | 2018-01-29 |
1881102655 | Johnson Health Center | Clinic/Center | 925 Village Hwy, Rustburg, VA 24588-4591 | 2018-01-16 |
1508231036 | Johnson Health Center | Clinic/Center | 200 Amelon Sq, Madison Heights, VA 24572-5981 | 2015-12-09 |
1609203538 | Johnson Health Center | Clinic/Center | 582 Blue Ridge Ave, Bedford, VA 24523-2604 | 2013-10-10 |
1710314653 | Johnson Health Center | Clinic/Center | 407 Federal St, Lynchburg, VA 24504-2306 | 2013-10-10 |
1609203652 | Johnson Health Center | Dentist | 600 Bedford Ave, Bedford, VA 24523-2452 | 2013-10-07 |
1972858660 | Johnson Health Center | Clinic/Center | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2012-07-18 |
1962709287 | Johnson Health Center | Pharmacy | 320 Federal St, Lynchburg, VA 24504-2306 | 2011-02-23 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | JOHNSON HEALTH CENTER | 134 Elon Road, Madison Heights, Virginia 24572 |
Indiana Business Entities | JOHNSON HEALTH CENTER INC. | 114 N. Calumet Road, Chesterton, IN 46304 |
Street Address |
104 CAROLINA AVENUE |
City | BROOKNEAL |
State | VA |
Zip Code | 24528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982166047 | Dustin Keller Enterprises LLC | Durable Medical Equipment & Medical Supplies | 1547 Red Bottom Rd, Brookneal, VA 24528 | 2019-04-05 |
1174626816 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 240-b Lusardi Drive, Brookneal, VA 24528 | 2006-09-07 |
1366413908 | Richard Lee Fisher Sr. | Dentist | 215 A Main Street, Brookneal, VA 24528 | 2006-01-31 |
1497935753 | Team Nurse, Inc. | Case Management | 330 Main Street, Brookneal, VA 24528 | 2007-11-05 |
1336150887 | William L Drake Jr. | Dentist | 258 Main St, Brookneal, VA 24528 | 2006-08-10 |
1831224302 | Brookneal Drug Co Inc | Durable Medical Equipment & Medical Supplies | 120 Rush Street, Pharmacy, Brookneal, VA 24528-0066 | 2007-02-23 |
1285667469 | Brookneal Optical, Inc | Technician/Technologist | 207 E. Rush Street, Brookneal, VA 24528-0100 | 2006-07-09 |
1295725455 | Brookneal Life Care Corp | Skilled Nursing Facility | 633 Cook Ave, Brookneal, VA 24528-1470 | 2005-10-27 |
1861499493 | Donald E. Carwile | Family Medicine | 104 Carolina Ave, Brookneal, VA 24528-2643 | 2005-06-28 |
1609397462 | Kimberly Diane Altizer | Nurse Practitioner | 104 Carolina Ave, Brookneal, VA 24528-2643 | 2017-07-03 |
Find all providers in zip 24528 |
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 |
---|---|---|---|---|
1750937009 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 182 Shire Ln, North Tazewell, VA 24630-5044 | 2019-08-13 |
1649825092 | The Daily Planet Inc | Clinic/Center | 1532 High St, Richmond, VA 23220-2314 | 2019-08-02 |
1093367732 | Peninsula Institute for Community Health Inc | Clinic/Center | 7401 Warwick Blvd, Newport News, VA 23607-1515 | 2019-07-12 |
1538725668 | Peninsula Institute for Community Health Inc | Clinic/Center | 9294 Warwick Blvd, Newport News, VA 23607-1535 | 2019-05-14 |
1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
1427560242 | Neighborhood Health | Clinic/Center | 5000 Polk Ave, Alexandria, VA 22304-1908 | 2017-11-02 |
1679084297 | Neighborhood Health | Clinic/Center | 8100 Fordson Rd, Alexandria, VA 22306-3128 | 2017-10-23 |
1396256087 | Neighborhood Health | Clinic/Center | 1501 Cameron St, Alexandria, VA 22314-2702 | 2017-10-20 |
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 |
Find all providers with the same taxonomy |
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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.