Commonwealth Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMMONWEALTH CLINIC

Practice address

10930 Hull Street Rd
Midlothian, VA 23112-3316

Phone

(804) 674-7499

Fax

(804) 674-7448

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Judith Lynn Pawlak, PA-C

Title

Executive Director

Phone

(804) 674-7499

Specialties & licenses 1

Addresses

Other names 1

• Love of Jesus Health Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1609073485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123316",
            "telephone_number": "804-674-7499",
            "fax_number": "804-674-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123316",
            "telephone_number": "804-674-7499",
            "fax_number": "804-674-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "PAWLAK",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-674-7499",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love of Jesus Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colonial Rehabilitation Group, LLC
• Daniel Charles Colpo, RPH
• Comfort Counseling, LLC
• Daniel Michael Comins, OTR
• Commonwealth Behavioral Health, Inc.
• Commonwealth Ear, Nose & Throat Specialists PC
• Commonwealth Hearing Centersllc
• Commonwealth Infectious Diseases, LLC
• Commonwealth Pediatric Dentistry, PLLC
• Commonwealth Primary Care

• Clinic/Center in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.