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Organization Active NPI

DLP Twin County Physician Practices LLC

  • Rural Health Clinic/Center
  • Independence, VA
National Provider Identifier
1104512276
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Practice address
217 S Independence Ave
Independence, VA 24348-2802
Phone
(276) 773-2063
Fax
(276) 773-2118
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

217 S Independence Ave
Independence, VA 24348-2802

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Twin County Family Care Center - Independence Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120503000011 VA Part B Supplier - Clinic/Group Practice 7214199512 Receives reassigned benefits from 86 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wytheville, VA; Winchester, VA; Sparta, NC; Independence, VA; Hillsville, VA; Goode, VA; Galax, VA; Charlottesville, VA…
O20230510003517 VA Part A Provider - Rural Health Clinic 7214199512 Practice locations: Independence, VA

Rural health clinic certification: CCN 498952

Legal name
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Doing business as
TWIN COUNTY FAMILY CARE CENTER - INDEPENDENCE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 29, 2023
Last certification
Nov 29, 2023
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Jan 3, 2012 in DE
Enrollment address
217 S Independence Ave
Independence, VA 24348-2802

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
DLP Twin County Physician Practices LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 97%
Pamela Kane Individual Corporate OfficerVice President May 1, 2023
DLP Twin County Holding Company LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2023 100%
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 97%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 97%
DLP Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 80%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 97%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 97%
Charlotte E Lawrence Individual Corporate OfficerSecretary May 1, 2023
DLP Partner LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 97%
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer May 1, 2023
Christopher J Monte Individual Corporate OfficerVice President May 1, 2023
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 97%

Facilities with the same owner 202

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 202

Practitioners & affiliated clinicians

Practitioners 1

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": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1104512276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S INDEPENDENCE AVE",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243482802",
            "telephone_number": "276-773-2063",
            "fax_number": "276-773-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP TWIN COUNTY PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin County Family Care Center - Independence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Twin County Family Care Center - Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, VA

Sources for this page

Verify at the official NPI Registry.