SPECIALTY CLINIC (NPI# 1518157957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518157957 |
| Entity Type | Organization |
| Organization Name | SPECIALTY CLINIC |
| Other Organization Name | PCH OPERATIONS, LLC DBA R.J. REYNOLDS-PATRICK COUNTY MEMORIAL HOSPITAL |
| Practice Address |
18688 Jeb Stuart Hwy Stuart VA 24171-1559 |
| Practice Telephone | 2766943151 |
| Practice Fax Number | 2766948655 |
| Mailing Telephone | 2766943151 |
| Mailing Fax Number | 2766948655 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | JANICE F WILKINS (ADMINISTRATOR) |
| Authorized Official Telephone | 2766948678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PCH Operations, LLC dba R.J. Reynolds-Patrick County Memorial Hospital | Doing Business As Name - Organization |
| Street Address |
18688 JEB STUART HWY |
| City | STUART |
| State | VA |
| Zip Code | 24171-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955212 | Paul C Herger | Nurse Anesthetist, Certified Registered | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2005-07-14 |
| 1497170567 | Thomasina Engle | Specialist/Technologist | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2014-02-26 |
| 1366685018 | Pioneer Health Services of Patrick County, Inc | Emergency Medicine | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-10 |
| 1639311749 | Pioneer Health Services of Patrick County, Inc | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-03 |
| 1659513893 | Pioneer Health Services of Patrick County, Inc. | General Acute Care Hospital | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-02 |
| 1619121217 | Patrick Hospital, LLC | Clinical Medical Laboratory | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1528212123 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1346494945 | Patrick Hospital, LLC | Hospice Care, Community Based | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1164676763 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1073767679 | Patrick Hospital, LLC | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| Find all providers in zip 24171 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1295110559 | Addiction Doctors of South Florida | Clinic/Center | 1001 Se Monterey Commons Blvd, Suite 100, Stuart, FL 34996-3329 | 2015-07-28 |
| 1528318771 | Riobe Institute of Holistic Gynecology, Pllc | Clinic/Center | 2100 Se Ocean Blvd, Suite 200-b, Stuart, FL 34996-3332 | 2012-09-14 |
| 1689972200 | Holistic Gynecology of The Treasurecoast | Clinic/Center | 2100 Se Ocean Blvd, Ste 200-b, Stuart, FL 34996-3332 | 2011-03-06 |
| 1316975071 | Martin Cardiovascular Diagnostics | Clinic/Center | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2006-06-29 |
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| 1861989105 | Lgn Weight Loss, LLC | Clinic/Center | 1114 E Main St Ste 6, Lebanon, VA 24266-5014 | 2018-04-20 |
| 1346746484 | Flex Massage Therapy, Inc | Clinic/Center | 700 Baker Rd Ste 115, Virginia Beach, VA 23462-1034 | 2018-04-05 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1346615390 | Caring Center Pllc | Clinic/Center | 19465 Deerfield Ave Ste 410, Leesburg, VA 20176-1708 | 2015-12-02 |
| 1093148314 | Ready Set Sleep Nurse LLC | Clinic/Center | 901 E Timber Branch Pkwy, Alexandria, VA 22302-3231 | 2013-08-11 |
| 1487944070 | Prince William Chiropractic Clinic | Clinic/Center | 2026 Opitz Blvd Ste B, Woodbridge, VA 22191-3332 | 2011-04-15 |
| 1356677306 | Hwang H. Junn Md Im/geri Plc | Clinic/Center | 4216 Evergreen Lane, Suite 111, Annandale, VA 22003-3253 | 2009-10-27 |
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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.