NPIMap

Organization Active NPI

Friendship Outpatient & Wellness Services, Inc.

  • Rehabilitation Clinic/Center
  • Salem, VA
National Provider Identifier
1639931488
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FRIENDSHIP OUTPATIENT & WELLNESS SERVICES, INC.
Doing business as
Richfield Outpatient
Practice address
3719 Knollridge Rd
Salem, VA 24153-1938
Phone
(540) 265-2199
NPI assigned
Jan 26, 2024
Organization subpart
Yes
Parent organization
FRIENDSHIP OUTPATIENT & WELLNESS SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Charles Michael Shannon
Title
Cfo
Phone
(540) 777-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3719 Knollridge Rd
Salem, VA 24153-1938

Mailing address

PO Box 7577
Roanoke, VA 24019-0577
Phone (540) 265-2183

Other names 1

  • Richfield Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Friendship Outpatient Wellness Services Inc2 organizations share this tax ID, including this one
Part of
Friendship Outpatient Wellness Services Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1639931488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7577",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240190577",
            "telephone_number": "540-265-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 KNOLLRIDGE RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241531938",
            "telephone_number": "540-265-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP OUTPATIENT & WELLNESS SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRIENDSHIP OUTPATIENT & WELLNESS SERVICES, INC",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-777-4044"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richfield Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.