Village Medical Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VILLAGE MEDICAL CENTER LLC

Practice address

266 W 3Rd St Rear
Frazeysburg, OH 43822-9784

Phone

(740) 334-9480

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By 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

Felisha Wolford, CNPNPI 1306439583

Title

Owner

Phone

(740) 334-9480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

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.

• Felisha Wolford, CNP

  • Family Nurse Practitioner
  • Frazeysburg, OH
  • NPI 1306439583
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1629704069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 SCOUT RD",
            "city": "FRAZEYSBURG",
            "state": "OH",
            "postal_code": "438229372",
            "telephone_number": "740-334-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 W 3RD ST REAR",
            "city": "FRAZEYSBURG",
            "state": "OH",
            "postal_code": "438229784",
            "telephone_number": "740-334-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "WOLFORD",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-334-9480",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Scaggs
• Aziza S Sidwell
• Kayla Spratt
• Jaclynn Sullivan
• Mandy Sue Turnbill, COTA
• Lisa Lynn Waldron, HHA
• Patrick J Webster
• Lisa West
• Jamie Linn Wilson, RN
• Felisha Wolford, CNP

• Primary Care Clinic/Center in Frazeysburg, OH
• Providers in Frazeysburg, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.