Fries Community Health Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRIES COMMUNITY HEALTH CARE INC

Practice address

109 Carroll Drive
Fries, VA 24330-4532

Phone

(276) 744-3660

NPI assigned

Sep 20, 2011

Last updated

Sep 11, 2012By 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

Kelly S Vandyke, MD

Title

Owner

Phone

(276) 744-3660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1710260476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARROLL DRIVE",
            "city": "FRIES",
            "state": "VA",
            "postal_code": "243300453",
            "telephone_number": "276-744-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARROLL DRIVE",
            "city": "FRIES",
            "state": "VA",
            "postal_code": "243304532",
            "telephone_number": "276-744-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIES COMMUNITY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-744-3660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Bullins
• Kelly Russell Burris, NP
• Michael A Cobler, LPC
• Joy K Creed, FNP-C
• Fries Community Health Care Inc
• Fries Family Care Center PC
• Fries Family Care Center PC
• Fries Volunteer Fire Department Inc
• Gladeview Medical LLC

• Family Medicine Physician in Fries, VA
• Providers in Fries, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.