NPIMap

Organization Active NPI

Boydton Community Health Facility, Inc

Doing business as Family Counseling Center

  • Federally Qualified Health Center (FQHC)
  • Boydton, VA
National Provider Identifier
1194982595
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BOYDTON COMMUNITY HEALTH FACILITY, INC
Doing business as
Family Counseling Center
Practice address
1321 Jefferson Street
Boydton, VA 23917
Phone
(434) 738-6102
Fax
(434) 738-6982
NPI assigned
May 22, 2008
Last updated
Nov 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Mrs. Angela N Miller
Title
Director of Operations
Phone
(434) 738-6102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU

Addresses

Primary practice location

1321 Jefferson Street
Boydton, VA 23917

Mailing address

PO Box 540
Boydton, VA 23917-0540
Phone (434) 738-6102

Other identifiers 1

IdentifierTypeStateIssuer
007691092MedicaidVA

Other names 1

  • Family Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194982595. Details of each certification follow.

  • CCN 491869 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 491869

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FAMILY COUNSELING CENTER/ HEALTHCARE ON THE SQUARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 23, 2006
Last certification
Oct 23, 2006
Ownership / control type
Non-profit – church related
Facility address
1321 Jefferson Street
Boydton, VA 23917

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1194982595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "BOYDTON",
            "state": "VA",
            "postal_code": "239170540",
            "telephone_number": "434-738-6102",
            "fax_number": "434-738-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 JEFFERSON STREET",
            "city": "BOYDTON",
            "state": "VA",
            "postal_code": "23917",
            "telephone_number": "434-738-6102",
            "fax_number": "434-738-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYDTON COMMUNITY HEALTH FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "434-738-6102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007691092",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boydton, VA

Sources for this page

Verify at the official NPI Registry.