NPIMap

Organization Active NPI

Whole Woman'S Health Alliance

  • Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1356853592
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WHOLE WOMAN'S HEALTH ALLIANCE
Doing business as
Whole Woman's Health of Charlottesville
Practice address
2321 Commonwealth Dr
Charlottesville, VA 22901-1637
Phone
(434) 973-4888
Fax
(888) 724-3239
NPI assigned
Oct 27, 2017
Organization subpart
Yes
Parent organization
WHOLE WOMAN'S HEALTH ALLIANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Virginia E Smith
Title
Credentialing Coordinator
Phone
(888) 737-9615

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2321 Commonwealth Dr
Charlottesville, VA 22901-1637

Mailing address

1001 E Market St Ste 200
Charlottesville, VA 22902-5381
Phone (434) 202-8818

Other identifiers 1

IdentifierTypeStateIssuer
1356853592MedicaidVA

Other names 1

  • Whole Woman's Health of Charlottesville Doing business as

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
49D2038942Whole Woman'S Health of Charlottesville2321 Commonwealth Drive, Charlottesville, VA 22901Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Whole Woman'S Health Alliance4 organizations share this tax ID, including this one
Part of
Whole Woman'S Health Alliance

Other organizations with this tax ID 3

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

Locations

8053 E Bloomington Fwy
Bloomington, MN 55420
Phone (612) 333-2155

2321 Commonwealth Dr
Charlottesville, VA 22901
Phone (434) 964-1064

914 E Jefferson St
Ste 204
Charlottesvle, VA 22902
Phone (434) 218-2594

601 Old Wagner Rd
Ste 100
Petersburg, VA 23805
Phone (804) 431-5189

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1356853592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E MARKET ST STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025381",
            "telephone_number": "434-202-8818",
            "fax_number": "888-724-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 COMMONWEALTH DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011637",
            "telephone_number": "434-973-4888",
            "fax_number": "888-724-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE WOMAN'S HEALTH ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHOLE WOMAN'S HEALTH ALLIANCE",
        "enumeration_date": "2017-10-27",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "888-737-9615"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356853592",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Woman's Health of Charlottesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.