Organization Active NPI

Northern Neck Free Health Clinic

  • Community Health Clinic/Center
  • Kilmarnock, VA
National Provider Identifier
1275790412
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
NORTHERN NECK FREE HEALTH CLINIC
Practice address
51 William B Graham CT
Kilmarnock, VA 22482-3852
Phone
(804) 435-0575
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Rosalyn Jean Nelson
Title
Executive Director
Phone
(804) 435-0575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

51 William B Graham CT
Kilmarnock, VA 22482-3852

Mailing address

51 William B Graham CT
Kilmarnock, VA 22482-3852
Phone (804) 435-0575

National Provider Directory

National Provider Directory
Tax ID family
Northern Neck Free Health Clinic2 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.

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1275790412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WILLIAM B GRAHAM CT",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823852",
            "telephone_number": "804-435-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WILLIAM B GRAHAM CT",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823852",
            "telephone_number": "804-435-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NECK FREE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-435-0575"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.