NPIMap

Organization Active NPI

Family Health Care Associates

Doing business as Ridgewood Health Care Clinic

  • Rural Health Clinic/Center
  • Lebanon, VA
National Provider Identifier
1891885273
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAMILY HEALTH CARE ASSOCIATES
Doing business as
Ridgewood Health Care Clinic
Practice address
143 West Main Street
Lebanon, VA 24266-4214
Phone
(276) 889-2394
Fax
(276) 889-3861
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. Dwight Lawrence Bailey, MDNPI 1467418566
Title
President
Phone
(276) 889-2394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

143 West Main Street
Lebanon, VA 24266-4214

Mailing address

PO Box 369
Lebanon, VA 24266-0369
Phone (276) 889-2394

Other identifiers 1

IdentifierTypeStateIssuer
7617917MedicaidVA

Other names 1

  • Ridgewood Health Care Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

128 S Flannagan Ave
Lebanon, VA 24266
Phone (540) 889-2394

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17156/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1891885273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242660369",
            "telephone_number": "276-889-2394",
            "fax_number": "276-889-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WEST MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664214",
            "telephone_number": "276-889-2394",
            "fax_number": "276-889-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-889-2394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7617917",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgewood Health Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.