Free Clinic of Rockingham County, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

FREE CLINIC OF ROCKINGHAM COUNTY, INC

Practice address

315 S Main St
Reidsville, NC 27320-3815

Phone

(336) 349-3220

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly J Rider

Title

Executive Director

Phone

(336) 349-3220

Specialties & licenses 1

Addresses

Tax ID family

Free Clinic of Rockingham County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Free Clinic of Rockingham County, Inc

  • Health Service Clinic/Center
  • Reidsville, NC
  • NPI 1861733669
  NPD tax ID

Locations

Practitioners 1

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.

• Shannon G McElroy, PA-C

  • Physician Assistant
  • Reidsville, NC
  • NPI 1972502987
  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1609266816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273232668",
            "telephone_number": "336-349-3220",
            "fax_number": "336-349-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203815",
            "telephone_number": "336-349-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE CLINIC OF ROCKINGHAM COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-349-3220"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toya Foster
• Fostering Opportunities in Communities and Uniting Services
• Sherri Fowler
• Cody Benjamin Fox, PTA
• Frances E. Dechurch & Associates, PLLC
• Jack Alonzo Freeman Jr.
• Debbie Sue Freitag, MSW, LCSW-A
• Edwin L Fuentes, D.O.
• Lawrence J Fusco, M.D.
• Elizabeth Danielle Gainey, LPCA

• Voluntary or Charitable Agency in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.