NPIMap

Organization Active NPI

Martinsville Henry County Coalition for Health and Wellness

Doing business as Connect Health - Patrick

  • Federally Qualified Health Center (FQHC)
  • Stuart, VA
National Provider Identifier
1619707221
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS
Doing business as
Connect Health - Patrick
Practice address
22121 Jeb Stuart Hwy
Stuart, VA 24171-5287
Phone
(276) 638-0787
Fax
(276) 629-2695
NPI assigned
Aug 7, 2024
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Gina Finocchiaro
Title
Chief Financial Officer
Phone
(276) 403-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

22121 Jeb Stuart Hwy
Stuart, VA 24171-5287

Mailing address

29 Jones St
Martinsville, VA 24112-2716
Phone (276) 638-0787

Other names 1

  • Connect Health - Patrick Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080721000741 VA Part B Supplier - Clinic/Group Practice 4385717552 Receives reassigned benefits from 21 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bassett, VA; Martinsville, VA; Ridgeway, VA; Stuart, VA
O20241220002602 VA Part A Provider - Federally Qualified Health Center (FQHC) 4385717552 Practice locations: Stuart, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619707221. Details of each certification follow.

Federally qualified health center certification: CCN 491033

Legal name
MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS
Doing business as
CONNECT HEALTH- PATRICK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 13, 2025
Last certification
Jan 13, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 17, 2005 in VA
Enrollment address
22121 Jeb Stuart Highway
Stuart, VA 24171

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2312672Connect Health - Patrick22121 Jeb Stuart Hwy, Stuart, VA 24171Provider-performed microscopyOct 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Martinsville Henry County Coalition for Health and Wellness4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4944 Greensboro Rd
Ridgeway, VA 24148
Phone (276) 638-0787

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charlotte Harter Individual Corporate Director Dec 20, 2016
Edna Ekuban-Gordon Individual Corporate Director Nov 5, 2021
Deshanta Hairston Individual Corporate Director Jan 1, 2021
Charles Graves Anthony Individual Corporate Director Jan 1, 2024
Harry Scott Martin Individual Corporate Director Aug 25, 2015
Lacoma Hairston Individual Corporate Director May 28, 2019
William M Stone Individual Corporate Officer Feb 15, 2021
W-2 Managing EmployeeAd;Ceo Feb 15, 2021
Ralph Lawson Individual Corporate Director Mar 26, 2012
Ron Hairston Individual Corporate Director May 26, 2014
Lisa Rivera Individual Corporate Director May 22, 2018
Victor Millner Individual Corporate Director Dec 16, 2014
Kenneth Muse Individual Corporate Director Jan 1, 2022
Ardys Winslow Individual Corporate Director Jan 22, 2019
Brandon Martin Individual Corporate Director Jan 1, 2021
Gina D Finocchiaro Individual Corporate Officer Apr 21, 2021
W-2 Managing EmployeeCfo Apr 21, 2021
Darrin Doss Individual Corporate Director Jan 1, 2021
Linda Dorr Individual Corporate Director Aug 26, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Connect Health + WellnessMartinsville, VA, CCN 491013 Federally qualified health center Operational/Managerial Control (100%) Oct 15, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1619707221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 JONES ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122716",
            "telephone_number": "276-638-0787",
            "fax_number": "276-403-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22121 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715287",
            "telephone_number": "276-638-0787",
            "fax_number": "276-629-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "FINOCCHIARO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "276-403-5096"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connect Health - Patrick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, VA

Sources for this page

Verify at the official NPI Registry.