NPIMap

Organization Active NPI

Shenandoah County Free Clinic Inc

  • Public Health or Welfare Agency
  • Woodstock, VA
National Provider Identifier
1235403361
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SHENANDOAH COUNTY FREE CLINIC INC
Practice address
124 Valley Vista Dr
Woodstock, VA 22664-1608
Phone
(540) 459-1700
Fax
(540) 459-1809
NPI assigned
Mar 7, 2012
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Kimberly Williams
Title
Operations Director
Phone
(540) 459-5905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

124 Valley Vista Dr
Woodstock, VA 22664-1608

Mailing address

124 Valley Vista Dr
Woodstock, VA 22664-1608
Phone (540) 459-1700

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2000618Shenandoah County Free Clinic124 Valley Vista Drive, Woodstock, VA 22664Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Shanadoah County Free Cinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

781 Spring Pkwy
Woodstock, VA 22664
Phone (540) 459-1700

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1235403361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 VALLEY VISTA DR",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641608",
            "telephone_number": "540-459-1700",
            "fax_number": "540-459-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 VALLEY VISTA DR",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641608",
            "telephone_number": "540-459-1700",
            "fax_number": "540-459-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH COUNTY FREE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "540-459-5905"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.