Beach Health Clinic,Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0201004157 Issued in VA

Legal business name

BEACH HEALTH CLINIC,INC.

Practice address

3396 Holland Rd Ste 102
Virginia Beach, VA 23452-4824

Phone

(757) 428-5601

Fax

(757) 428-7872

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Hellstrom

Title

Executive Director

Phone

(757) 428-5601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821291584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3396 HOLLAND RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524824",
            "telephone_number": "757-428-5601",
            "fax_number": "757-428-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3396 HOLLAND RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524824",
            "telephone_number": "757-428-5601",
            "fax_number": "757-428-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH HEALTH CLINIC,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELLSTROM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-428-5601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0201004157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Counseling Center LLC
• Beach Counseling, LLC
• Beach Eclinic LLC
• Beach Eye Care, Inc.
• Beach Family Medicine, Inc.
• Beach Hearing
• Beach Kids Pediatrics PLLC
• Beach Life Counseling & Consulting Services, PLLC
• Beach Life Nutrition LLC
• Beach Medical Group PC

• Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinic/Center in Virginia

• 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.