Pioneer Health Services of Patrick County, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PIONEER HEALTH SERVICES OF PATRICK COUNTY, INC.

Doing business as

Pioneer Family Medical of Spencer

Practice address

19229 A. L. Philpott Hwy
Spencer, VA 24165-0000

Phone

(276) 957-7007

Fax

(276) 957-7011

NPI assigned

Jul 18, 2011

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph S McNulty III

Title

Ceo

Phone

(601) 849-6440

Specialties & licenses 1

Addresses

Other names 1

• Pioneer Family Medical of Spencer Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1003104662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19229 A. L. PHILPOTT HWY",
            "city": "SPENCER",
            "state": "VA",
            "postal_code": "241650000",
            "telephone_number": "276-957-7007",
            "fax_number": "276-957-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 A. L. PHILPOTT HWY",
            "city": "SPENCER",
            "state": "VA",
            "postal_code": "241650000",
            "telephone_number": "276-957-7007",
            "fax_number": "276-957-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF PATRICK COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Medical of Spencer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Spencer, VA
• Providers in Spencer, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.