NPIMap

Organization Active NPI

Piedmont Access to Health Services, Inc

Doing business as Health Center of the Piedmont Martinsville

  • Federally Qualified Health Center (FQHC)
  • Martinsville, VA
National Provider Identifier
1841323151
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PIEDMONT ACCESS TO HEALTH SERVICES, INC
Doing business as
Health Center of the Piedmont Martinsville
Practice address
315 Hospital Dr
Martinsville, VA 24112-1945
Phone
(276) 632-2966
Fax
(276) 632-0841
NPI assigned
Mar 14, 2007
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Marsha Mendenhall
Title
Ceo
Phone
(434) 791-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

315 Hospital Dr
Martinsville, VA 24112-1945

Mailing address

705 Main St
Danville, VA 24541-1803
Phone (434) 791-3630

Other names 1

  • Health Center of the Piedmont Martinsville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041006000658 VA Part A Provider - Federally Qualified Health Center (FQHC) 3476512427 1 other NPI on this enrollment
Practice locations: Martinsville, VA
O20050304000592 VA Part B Supplier - Clinic/Group Practice 3476512427 Receives reassigned benefits from 81 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boydton, VA; Martinsville, VA; Chatham, VA; Danville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841323151. Details of each certification follow.

Federally qualified health center certification: CCN 491862

Legal name
PIEDMONT ACCESS TO HEALTH SERVICES INC
Doing business as
HEALTH CENTERS OF THE PIEDMONT-MARTINSVILLE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 29, 2004
Last certification
Nov 29, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 4, 2001 in VA
Enrollment address
315 Hospital Dr
Martinsville, VA 24112-1945

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brandie King Individual Corporate DirectorVice Chair Board of Directors Dec 1, 2019
Rita Childress Individual Corporate DirectorBoard Member Aug 1, 2021
James Daniel Individual Corporate DirectorBoard Member Jul 1, 2021
Laura Luffman Individual Corporate DirectorBoard Secretary Jul 1, 2023
Clarence Kirby Individual Corporate DirectorTreasurer Jul 1, 2013
Barry Mayo Individual Corporate DirectorBoard Chair Jul 1, 2016
Rachel Boyer Individual Corporate DirectorBoard Member Jul 1, 2023
Kathleen Bullano Individual Corporate DirectorBoard Member Jul 23, 2023
Tori Lester Individual Corporate DirectorCfo Jun 1, 2019
W-2 Managing EmployeeCfo Jun 1, 2019
Gregory G Braund Individual Corporate DirectorBoard Member Oct 1, 2021
Marsha Mendenhall Individual Corporate DirectorCeo Jun 1, 2019
Operational/Managerial ControlCeo Jun 1, 2019

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1841323151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411803",
            "telephone_number": "434-791-3630",
            "fax_number": "434-791-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945",
            "telephone_number": "276-632-2966",
            "fax_number": "276-632-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT ACCESS TO HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "MENDENHALL",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-791-3630"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center of the Piedmont Martinsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Center of the Piedmont Martinsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.