Organization Active NPI

South Hill Family Medicine Incorporated

  • Rural Health Clinic/Center
  • South Hill, VA
National Provider Identifier
1861447732
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SOUTH HILL FAMILY MEDICINE INCORPORATED
Practice address
514 W Atlantic St
South Hill, VA 23970-1906
Phone
(434) 447-6969
Fax
(434) 447-2240
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Joan S Medlin
Title
Exe Asst
Phone
(434) 447-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X VA Primary

Addresses

Primary practice location

514 W Atlantic St
South Hill, VA 23970-1906

Mailing address

514 W Atlantic St
South Hill, VA 23970-1906
Phone (434) 447-6969

Other identifiers 1

IdentifierTypeStateIssuer
007610327MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1861447732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701906",
            "telephone_number": "434-447-6969",
            "fax_number": "434-447-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701906",
            "telephone_number": "434-447-6969",
            "fax_number": "434-447-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL FAMILY MEDICINE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXE ASST",
        "authorized_official_telephone_number": "434-447-6969"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007610327",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.