FMSC Weber City Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

314000000 Issued in VA

Legal business name

FMSC WEBER CITY OPERATING COMPANY LLC

Practice address

377 Clonce St
Weber City, VA 24290-7269

Phone

(276) 386-9444

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Theodore M Duay III, C.P.A.

Title

Chief Financial Officer

Phone

(786) 888-3310

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brian Center Health & Rehabilitation Center/Scott County Doing business as

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1114956265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615804",
            "telephone_number": "786-888-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 CLONCE ST",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "242907269",
            "telephone_number": "276-386-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMSC WEBER CITY OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "DUAY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "786-888-3310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "314000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-5208-1/VA",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian Center Health & Rehabilitation Center/Scott County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Health Group, P.C.
• Kimberly Renea Dockery, LPTA
• John Franklin Ellis, D.C.
• Mary Alice Fields
• Nikki Fields
• Frontier Health
• Kristie L Galloway, FNP
• Ketasha Goodwin
• Mary Kaitlyn Green, PHARMD
• Angela Grizzle, P.T

• Skilled Nursing Facility in Weber City, VA
• Providers in Weber City, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.