NPIMap

Organization Active NPI

Memorial Family Care

  • Primary Care Clinic/Center
  • Danville, VA
National Provider Identifier
1821480658
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101053147 Issued in VA
Legal business name
MEMORIAL FAMILY CARE
Practice address
501 Rison St Ste 120
Danville, VA 24541-2426
Phone
(434) 792-3730
Fax
(434) 792-6048
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Mrs. Lisa Dixon Adkins
Title
Office Manager
Phone
(434) 792-3730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101053147 VA Primary

Addresses

Primary practice location

501 Rison St Ste 120
Danville, VA 24541-2426

Mailing address

501 Rison St Ste 120
Danville, VA 24541-2426
Phone (434) 792-3730

National Provider Directory

National Provider Directory
Tax ID family
Danville Endo Diabete2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

501 Rison St
Ste 120
Danville, VA 24541
Phone (434) 792-3730

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1821480658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 RISON ST STE 120",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412426",
            "telephone_number": "434-792-3730",
            "fax_number": "434-792-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RISON ST STE 120",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412426",
            "telephone_number": "434-792-3730",
            "fax_number": "434-792-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "434-792-3730",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101053147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.