NPIMap

Organization Active NPI

Community Physicians Services Corporation

  • Medical Specialty Clinic/Center
  • Wise, VA
National Provider Identifier
1053522565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
COMMUNITY PHYSICIANS SERVICES CORPORATION
Practice address
716 Spring Ave NE
Wise, VA 24293-5702
Phone
(276) 328-8910
Fax
(276) 328-4318
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Emily Jane Sturgill
Title
Practice Manager
Phone
(276) 679-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

716 Spring Ave NE
Wise, VA 24293-5702

Mailing address

96 15TH St NW
Suite 104
Norton, VA 24273-1620
Phone (276) 679-8890

National Provider Directory

National Provider Directory
Tax ID family
Community Physicians Services Corporation7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053522565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 15TH ST NW",
            "address_2": "SUITE 104",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731620",
            "telephone_number": "276-679-8890",
            "fax_number": "276-679-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 SPRING AVE NE",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242935702",
            "telephone_number": "276-328-8910",
            "fax_number": "276-328-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIANS SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STURGILL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "276-679-8890"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wise, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.