NPIMap

Organization Active NPI

Free Clinic of Central Virginia, Inc.

  • Clinic/Center
  • Lynchburg, VA
National Provider Identifier
1366855207
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FREE CLINIC OF CENTRAL VIRGINIA, INC.
Practice address
1016 Main St
Lynchburg, VA 24504-1712
Phone
(434) 847-5866
Fax
(434) 582-2529
NPI assigned
Jun 9, 2014
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Ms. Christina Delzingaro
Title
Executive Director
Phone
(434) 847-5866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1016 Main St
Lynchburg, VA 24504-1712

Mailing address

1016 Main St
Lynchburg, VA 24504-1712
Phone (434) 847-5866

National Provider Directory

National Provider Directory

Locations

1016 Main St
Lynchburg, VA 24504
Phone (434) 847-5866

Practitioners & affiliated clinicians

Practitioners 5

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": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1366855207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 MAIN ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041712",
            "telephone_number": "434-847-5866",
            "fax_number": "434-582-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MAIN ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041712",
            "telephone_number": "434-847-5866",
            "fax_number": "434-582-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE CLINIC OF CENTRAL VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "DELZINGARO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-847-5866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.