Organization Active NPI

Community Healthcare of Dublin LLC

  • Family Medicine Physician
  • Dublin, VA
National Provider Identifier
1063452498
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HEALTHCARE OF DUBLIN LLC
Practice address
5826 Ruebush Rd
Dublin, VA 24084-2252
Phone
(540) 674-8511
NPI assigned
Jun 7, 2006
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Carol Smith
Title
VP
Phone
(540) 674-8511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5826 Ruebush Rd
Dublin, VA 24084-2252

Mailing address

5826 Ruebush Rd
Dublin, VA 24084-2252
Phone (540) 674-8511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1063452498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 RUEBUSH RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240842252",
            "telephone_number": "540-674-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 RUEBUSH RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240842252",
            "telephone_number": "540-674-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE OF DUBLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "540-674-8511"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.