The Free Clinic of Rockingham County, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

THE FREE CLINIC OF ROCKINGHAM COUNTY, INC

Practice address

315 S. Main Street
Reidsville, NC 27320

Phone

(336) 349-3220

Fax

(336) 349-3229

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Amanda Lea Gard

Title

Practice Manager

Phone

(336) 349-3220

Specialties & licenses 2

Addresses

Tax ID family

Free Clinic of Rockingham County Inc2 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.

• Free Clinic of Rockingham County, Inc

  • Voluntary or Charitable Agency
  • Reidsville, NC
  • NPI 1609266816
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon G McElroy, PA-C

  • Physician Assistant
  • Reidsville, NC
  • NPI 1972502987
  NPD (past)

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1861733669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S. MAIN STREET",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "27320",
            "telephone_number": "336-349-3220",
            "fax_number": "336-349-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S. MAIN STREET",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "27320",
            "telephone_number": "336-349-3220",
            "fax_number": "336-349-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FREE CLINIC OF ROCKINGHAM COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "GARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-349-3220"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Healthcare Services, PC
• Matthew Ryan Taylor, D.C.
• Tesfaye D Fanta MD PLLC
• The Embassy Transportation Services LLC
• The Family Life Center of Rockingham Co. Inc.
• The McInnis Clinic PLLC
• The Mental Health Association in North Carolina, Inc.
• The Moses H Cone Memorial Hospital Operating Corporation
• The Moses H Cone Memorial Hospital Operating Corporation
• The Moses H Cone Memorial Hospital Operating Corporation

• Health Service Clinic/Center in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.