Active NPI
Buchanan Health Diabetes Center
- Specialist
- Grundy, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- BUCHANAN HEALTH DIABETES CENTER
- Practice address
- 1532 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975 - Phone
- (276) 935-2080
- NPI assigned
- Apr 3, 2012
- Last updated
- Apr 3, 2012
- Organization subpart
- Yes
- Parent organization
- BUCHANAN HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arvil R Ratliff
- Title
- Ceo
- Phone
- (276) 935-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1532 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975
Mailing address
PO Box 1217
Grundy, VA 24614-1217
Phone (276) 935-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050318000336 | VA | Part B Supplier - Clinic/Group Practice | 1254386659 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grundy, VA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1036851 | Buchanan Health Center, Inc | Certificate of waiver | Feb 9, 2027 |
National Provider Directory
National Provider Directory- Part of
- Buchanan Health Diabetes Center
Locations
1532 Slate Creek Rd
#101
Grundy, VA 24614
Phone (276) 935-2080
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.
-
- Family Medicine Physician
- Grundy, VA
- NPI 1154485779
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Medicine Physician
- Grundy, VA
- NPI 1700940327
-
- Family Nurse Practitioner
- Grundy, VA
- NPI 1922428697
-
- Family Nurse Practitioner
- Lebanon, VA
- NPI 1801977988
-
- Family Medicine Physician
- Grundy, VA
- NPI 1609930221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333411200000",
"number": "1376809384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1217",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246141217",
"telephone_number": "276-935-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 SLATE CREEK RD",
"address_2": "SUITE 101",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246146975",
"telephone_number": "276-935-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCHANAN HEALTH DIABETES CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BUCHANAN HEALTH CENTER",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A",
"authorized_official_last_name": "RATLIFF",
"authorized_official_first_name": "ARVIL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "276-935-2080"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grundy, VA
- Buchanan General Hospital Inc (Mountain View Medical Clinic)
- Buchanan General Hospital Inc. (Buchanan General Hospital Home Health Agency)
- Buchanan General Hospital, Inc
- Buchanan Health Care LLC
- Buchanan Health Center Inc
- Buchanan Pharmacy Associates
- Buchanan Physician Services LLC
- Buchanan Radiology Associates, Inc
- Buchanan Therapy Services, Inc.
- Dylan Alexander Campbell, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.