Organization Active NPI

Buchanan Health Center Inc

  • Family Medicine Physician
  • Grundy, VA
National Provider Identifier
1154485779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUCHANAN HEALTH CENTER INC
Practice address
RT 5
BGH Prof BLDG Suite 101
Grundy, VA 24614
Phone
(276) 935-2080
Fax
(276) 935-2082
NPI assigned
Dec 20, 2006
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
Mr. Avril Ray Ratliff
Title
President
Phone
(276) 935-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

RT 5
BGH Prof BLDG Suite 101
Grundy, VA 24614

Mailing address

PO Box 1217
Grundy, VA 24614
Phone (276) 935-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000336 VA Part B Supplier - Clinic/Group Practice 1254386659 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Grundy, VA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1532 Slate Creek Rd
Ste 101
Grundy, VA 24614
Phone (276) 935-2080

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154485779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1217",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "24614",
            "telephone_number": "276-935-2080",
            "fax_number": "276-935-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 5",
            "address_2": "BGH PROF BLDG SUITE 101",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "24614",
            "telephone_number": "276-935-2080",
            "fax_number": "276-935-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHANAN HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "AVRIL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-935-2080",
        "authorized_official_name_prefix": "Mr."
    },
    "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

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.