NPIMap

Organization Active NPI

The Northern Neck-Middlesex Free Health Clinic, Inc.

  • Primary Care Clinic/Center
  • Kilmarnock, VA
National Provider Identifier
1053520098
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THE NORTHERN NECK-MIDDLESEX FREE HEALTH CLINIC, INC.
Practice address
51 William B Graham CT
Kilmarnock, VA 22482-3852
Phone
(804) 435-0575
Fax
(804) 435-9017
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Mrs. Jean Rosalyn Nelson
Title
Executive Director
Phone
(804) 435-0575

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 0201003193 VA
Community Health Clinic/Center 261QC1500X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

51 William B Graham CT
Kilmarnock, VA 22482-3852

Mailing address

51 William B Graham CT
Kilmarnock, VA 22482-3852
Phone (804) 435-0575

National Provider Directory

National Provider Directory
Tax ID family
Northern Neck Free Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

51 William B Graham Ct
Kilmarnock, VA 22482
Phone (804) 435-0575

Practitioners & affiliated clinicians

Practitioners 8

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1053520098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WILLIAM B GRAHAM CT",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823852",
            "telephone_number": "804-435-0575",
            "fax_number": "804-435-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WILLIAM B GRAHAM CT",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823852",
            "telephone_number": "804-435-0575",
            "fax_number": "804-435-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NORTHERN NECK-MIDDLESEX FREE HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ROSALYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-435-0575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201003193",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.