NPIMap

Organization Active NPI

Lloyd F. Moss Free Clinic

  • Health Service Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1487089512
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0024105931 Issued in VA
Legal business name
LLOYD F. MOSS FREE CLINIC
Practice address
1301 Sam Perry Blvd
Fredericksburg, VA 22401-8420
Phone
(540) 741-1061
Fax
(540) 741-1096
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Ms. Karen Dulaney
Title
Executive Director
Phone
(540) 741-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 0024105931 VA Primary

Addresses

Primary practice location

1301 Sam Perry Blvd
Fredericksburg, VA 22401-8420

Mailing address

1301 Sam Perry Blvd
Fredericksburg, VA 22401-8420
Phone (540) 741-1061

National Provider Directory

National Provider Directory

Locations

1301 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1061

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": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1487089512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018420",
            "telephone_number": "540-741-1061",
            "fax_number": "540-741-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018420",
            "telephone_number": "540-741-1061",
            "fax_number": "540-741-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD F. MOSS FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "DULANEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-741-1061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0024105931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.