Guadalupe Free Clinic is a Clinic Pharmacy (organization) practicing in Colonial Beach, Virginia. The National Provider Identifier (NPI) is #1417778275, which was assigned on October 23, 2024, and the registration record was last updated on October 23, 2024. The practitioner's main practice location is at 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934; the contact telephone number is 8042240571, and the fax number is 8042240572. The primary taxonomy of Guadalupe Free Clinic is Clinic Pharmacy (3336C0002X), with specialization in Clinic Pharmacy. The authorized official for Guadalupe Free Clinic is Dr. Daniel Muldoon (Medical Director).
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
| NPI | 1417778275 |
| Entity Type | Organization |
| Organization Name | GUADALUPE FREE CLINIC |
| Provider Name | GUADALUPE FREE CLINIC |
| Practice Address |
700 Mckinney Blvd Ste 1100 Colonial Beach VA 22443-1934 |
| Practice Telephone | 8042240571 |
| Practice Fax Number | 8042240572 |
| Mailing Address |
700 Mckinney Blvd Ste 1100 Colonial Beach VA 22443-1934 |
| Mailing Telephone | 8042240571 |
| Mailing Fax Number | 8042240572 |
| Certification Date | 2024-10-20 |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |
| Is Organization Subpart | N |
| Official Name | DR. DANIEL MULDOON |
| Official Title | MEDICAL DIRECTOR |
| Credential | MD |
| Telephone | 5408409002 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 3336C0002X | Pharmacy | Clinic Pharmacy |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 0201004142 | VA | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, BOARD OF PHARMACY | Other |
| C65 | VA | VIRGINIA IMMUNIZATION INFORMATION SYSTEM | Other |
| Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| Grouping | Suppliers |
| Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| Street Address |
700 MCKINNEY BLVD STE 1100 |
| City | COLONIAL BEACH |
| State | VA |
| Zip Code | 22443-1934 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Rodestar L.L.C | 1274 Macedonia Ln, Colonial Beach, VA 22443-5815 | Driver | 2025-06-16 |
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|---|---|---|---|
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| Robert Dill | 4125 Ironbound Rd Ste 100, Williamsburg, VA 23188-2666 | Physical Therapist | 2026-02-06 |
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| Katherine Bailey | 9166 N Congress St, New Market, VA 22844-9422 | Primary Care Nurse Practitioner | 2026-02-06 |
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|---|---|---|---|
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| Brock Hughes Free Clinic, Inc. | 450 W Monroe St, Wytheville, VA 24382-2236 | Community Health Clinic/Center | 2008-06-19 |
| Lake County Free Clinic | 462 Chardon St, Painesville, OH 44077-3019 | Voluntary or Charitable Agency | 2007-05-18 |
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| Guadalupe Rebozzi-Aguayo · Guadalupe Padilla-Aguayo | 4820 Business Center Dr Ste 210, Fairfield, CA 94534-1696 | Social Worker | 2019-08-02 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |