Organization Active NPI

Family Health Care Associates of Swva.,PC

  • Primary Care Clinic/Center
  • Lebanon, VA
National Provider Identifier
1003955337
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY HEALTH CARE ASSOCIATES OF SWVA.,PC
Practice address
143 W Main St
Lebanon, VA 24266-4430
Phone
(276) 889-2394
Fax
(276) 889-4716
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Deborah A Bailey
Title
Chief Executive Officer
Phone
(276) 889-1297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

143 W Main St
Lebanon, VA 24266-4430

Mailing address

PO Box 369
Lebanon, VA 24266-0369
Phone (276) 889-2394

Other identifiers 1

IdentifierTypeStateIssuer
005600588MedicaidVA

National Provider Directory

National Provider Directory

Locations

128 S Flannagan Ave
Lebanon, VA 24266
Phone (540) 889-2394

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1003955337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242660369",
            "telephone_number": "276-889-2394",
            "fax_number": "276-889-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664430",
            "telephone_number": "276-889-2394",
            "fax_number": "276-889-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES OF SWVA.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "276-889-1297"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005600588",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.