Organization Active NPI

Southwest Women's Health Services of Virginia, PLLC

  • Primary Care Clinic/Center
  • Appalachia, VA
National Provider Identifier
1417217480
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101028013 Issued in VA
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, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RODOLFO CARTAGENA, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1720016389MedicaidVA

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.

Verify at the official NPI Registry.