Active NPI
Family Health Care Associates of Swva.,PC
- Primary Care Clinic/Center
- Lebanon, VA
National Provider Identifier
1003955337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005600588 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Abingdon, VA
- NPI 1023003266
-
- Family Nurse Practitioner
- Bristol, TN
- NPI 1558364620
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.