NPIMap

Organization Active NPI

Free Medical Clinic of Northern Shenandoah Valley

  • Health Service Clinic/Center
  • Winchester, VA
National Provider Identifier
1750592788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0201002404 Issued in VA
Legal business name
FREE MEDICAL CLINIC OF NORTHERN SHENANDOAH VALLEY
Practice address
301 N Cameron St
Suite 100
Winchester, VA 22601-4899
Phone
(540) 536-1680
Fax
(540) 662-4724
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John W. Archibald, R.PH
Title
Pharmacist in Charge
Phone
(540) 536-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 0201002404 VA Primary

Addresses

Primary practice location

301 N Cameron St
Suite 100
Winchester, VA 22601-4899

Mailing address

301 N Cameron St
Suite 100
Winchester, VA 22601-4899
Phone (540) 536-1680

Other identifiers 1

IdentifierTypeStateIssuer
0201002404OtherVASTATE LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Free Medical Clinic of Northern Shenandoah Valley3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750592788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N CAMERON ST",
            "address_2": "SUITE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014899",
            "telephone_number": "540-536-1680",
            "fax_number": "540-662-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CAMERON ST",
            "address_2": "SUITE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014899",
            "telephone_number": "540-536-1680",
            "fax_number": "540-662-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE MEDICAL CLINIC OF NORTHERN SHENANDOAH VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "540-536-1680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0201002404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "0201002404",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.