Active NPI
Southwest Women's Health Services of Virginia, PLLC
- Primary Care Clinic/Center
- Appalachia, VA
National Provider Identifier
1417217480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 0101028013
- Legal business name
- SOUTHWEST WOMEN'S HEALTH SERVICES OF VIRGINIA, PLLC
- Practice address
- 127 Callahan Ave
Appalachia, VA 24216-1203 - Phone
- (276) 565-2425
- Fax
- (276) 565-2427
- NPI assigned
- May 23, 2012
- Last updated
- May 23, 2012
- Organization subpart
- Yes
- Parent organization
- RODOLFO CARTAGENA, MD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodolfo Cartagena, M.D
- Title
- Owner
- Phone
- (276) 565-2425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0101028013 | VA | Primary |
Addresses
Primary practice location
127 Callahan Ave
Appalachia, VA 24216-1203
Mailing address
127 Callahan Ave
Appalachia, VA 24216-1203
Phone (276) 565-2425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720016389 | Medicaid | VA |
National Provider Directory
National Provider Directory- Part of
- Southwest Women's Health Services of Virginia PLLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337731200000",
"number": "1417217480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CALLAHAN AVE",
"city": "APPALACHIA",
"state": "VA",
"postal_code": "242161203",
"telephone_number": "276-565-2425",
"fax_number": "276-565-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CALLAHAN AVE",
"city": "APPALACHIA",
"state": "VA",
"postal_code": "242161203",
"telephone_number": "276-565-2425",
"fax_number": "276-565-2427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST WOMEN'S HEALTH SERVICES OF VIRGINIA, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RODOLFO CARTAGENA, MD",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-23",
"status": "A",
"authorized_official_last_name": "CARTAGENA",
"authorized_official_first_name": "RODOLFO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-565-2425",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "VA",
"license": "0101028013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720016389",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appalachia, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.