Free Medical Clinic of Martinsville & Henry County

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

FREE MEDICAL CLINIC OF MARTINSVILLE & HENRY COUNTY

Practice address

315 Hospital Dr
Suite 203
Martinsville, VA 24112-1945

Phone

(276) 638-0787

Fax

(276) 638-2430

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Barbara A. Jackman

Title

Executive Director

Phone

(276) 638-2523

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891990099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3231",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241153231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 203",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945",
            "telephone_number": "276-638-0787",
            "fax_number": "276-638-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE MEDICAL CLINIC OF MARTINSVILLE & HENRY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "276-638-2523"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Voluntary or Charitable Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.