NPIMap

Organization Active NPI

Tri Area Community Health

Doing business as Tri-Area Community Health at Stuart

  • Federally Qualified Health Center (FQHC)
  • Stuart, VA
National Provider Identifier
1952078313
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRI AREA COMMUNITY HEALTH
Doing business as
Tri-Area Community Health at Stuart
Practice address
18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone
(276) 694-4466
Fax
(276) 694-2909
NPI assigned
Aug 24, 2021
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
James Werth Jr.
Title
Ceo
Phone
(276) 398-2292

Specialties & licenses 1

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

Addresses

Primary practice location

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009
Phone (276) 398-1200

Other names 1

  • Tri-Area Community Health at Stuart Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Wenodontusethis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000969 VA Part B Supplier - Clinic/Group Practice 6204748296 Receives reassigned benefits from 46 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Independence, VA; Troutdale, VA; Stuart, VA; Laurel Fork, VA; Hillsville, VA; Galax, VA; Fries, VA; Floyd, VA…

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1952078313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243520009",
            "telephone_number": "276-398-1200",
            "fax_number": "276-398-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18877 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715223",
            "telephone_number": "276-694-4466",
            "fax_number": "276-694-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI AREA COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "WERTH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-398-2292",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wenodontusethis",
            "affiliation": "N",
            "address_1": "18877 Jeb Stuart Hwy",
            "city": "Stuart",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241715223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tri-Area Community Health at Stuart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.