Family Care Center of Buchanan County, LLC

Key facts

NPI

1104985472

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

Legal business name

FAMILY CARE CENTER OF BUCHANAN COUNTY, LLC

Practice address

1109 Plaza Dr Ste 1
East Grundy Plaza
Grundy, VA 24614-6780

Phone

(276) 935-2677

Fax

(276) 935-5775

NPI assigned

Dec 6, 2006

Organization subpart

No

Authorized official

Name

Michelle Lee Hess

Title

Office Manager

Phone

(276) 935-2677

Corporate family (same tax ID) 1

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

• Family Care Center Family Health Clinical Nurse Specialist · Grundy, VA · NPI 1629406996
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryann Collins, NP Family Nurse Practitioner · Pennington Gap, VA · NPI 1376514117
  Medicare reassignment Care Compare group NPD VA
• Adam Craig Stiltner, FNP-BC Family Nurse Practitioner · Grundy, VA · NPI 1467791244
  Medicare reassignment Care Compare group NPD VA
• Judy Naomi Street, FNP Nurse Practitioner · Grundy, VA · NPI 1326004763
  Medicare reassignment Care Compare group NPD VA

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VA

Medicare enrollment records

National Provider Directory

Tax ID family

Family Care Center (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 23, 2013.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1104985472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246141440",
            "telephone_number": "276-935-2677",
            "fax_number": "276-935-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 PLAZA DR STE 1",
            "address_2": "EAST GRUNDY PLAZA",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146780",
            "telephone_number": "276-935-2677",
            "fax_number": "276-935-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTER OF BUCHANAN COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-935-2677"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy, VA

• Kirsten Deel
• Janet Susan Elswick, FNP
• Emerald Path Group LLC
• Pamela Enjetti, M.D.
• Family Care Center
• Family Preservation Services, Inc
• Brian L Fields, PHARM D
• Amanda Fletcher
• Susan Buskill Fogg, LPC
• Samantha Renee Fraley

All providers in Grundy, VA · Family Medicine Physician in Virginia