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] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| John T Mather Memorial Hospital | 75 N Country Rd Fl 2, Port Jefferson, NY 11777-2119 | Clinic Pharmacy | 2025-02-21 |
| La Maestra Family Clinic, Inc. | 1246 E Main St, El Cajon, CA 92021-7290 | Clinic Pharmacy | 2024-10-03 |
| El Mirador Medical Plaza Pharmacy Inc. | 21634 Retreat Pkwy Ste 101, Temescal Valley, CA 92883-6100 | Clinic Pharmacy | 2025-02-19 |
| West Georgia Medical Center, Inc | 1514 Vernon Rd, Lagrange, GA 30240-4131 | Clinic Pharmacy | 2025-01-18 |
| Axesspointe Community Health Center, Inc | 527 W Market Street, Ste. 100, Akron, OH 44303-1837 | Clinic Pharmacy | 2024-09-18 |
| Appalachian Mountain Community Health Centers | 77 Mcdowell St, Asheville, NC 28801-4435 | Clinic Pharmacy | 2025-02-27 |
| Ovp Health Care Inc | 2550 Carter Ave Ste 100, Ashland, KY 41101-7830 | Clinic Pharmacy | 2025-02-24 |
| Rachel Mehringer | 5118 Annette Ave, Saint Louis, MO 63119-4302 | Clinic Pharmacy | 2025-01-28 |
| Advocate Health and Hospitals Corporation | 27655 Illinois Route 120, Rm 1102, Lakemoor, IL 60051 | Clinic Pharmacy | 2024-11-04 |
| Cold Mountain Pharmacy Services L.L.C. | 3130 Us 70 Hwy, Black Mountain, NC 28711-9108 | Clinic Pharmacy | 2024-11-30 |
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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 |
|---|---|---|---|
| Sarah Marie Tinney | 700 Mckinney Blvd, Colonial Beach, VA 22443-1925 | Pharmacist | 2013-09-08 |
| Norman B Ellis | 700 Mckinney Blvd, Colonial Beach, VA 22443-1925 | Pharmacist | 2007-04-10 |
| Colonial Beach Rescue Squad Incorporated | 225 Dennison St, Colonial Beach, VA 22443-2311 | Ambulance | 2006-07-22 |
| Lloyd Reed Hall III | 1814 James Monroe Highway, Colonial Beach, VA 22443 | Independent Duty Corpsman | 2016-06-06 |
| Colonial Beach Medical Center | 700 Mckinney Blvd, Ste. 12, Colonial Beach, VA 22443-1925 | Specialist | 2006-07-01 |
| Vivianette Menendez Nieves | 16 Irving Ave N, Colonial Beach, VA 22443-2324 | Occupational Therapist | 2023-02-23 |
| Mark K Arness | 2400 Mckinney Blvd, Colonial Beach, VA 22443-1237 | Occupational Medicine Physician | 2006-07-13 |
| Hasan Farkhani | 525b Euclid Ave, Colonial Beach, VA 22443-1907 | Internal Medicine Physician | 2006-09-11 |
| Mary Washington Convalescent & Nursing Care LLC | 2400 Mckinney Blvd, Colonial Beach, VA 22443-1237 | Skilled Nursing Facility | 2006-10-25 |
| Rite Aid of Virginia Inc · Rite Aid Pharmacy 02592 | 700 Mckinney Boulevard, Suite 700, Colonial Beach, VA 22443-1925 | Durable Medical Equipment & Medical Supplies | 2006-07-25 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mcminnville Free Clinic | 125 Se Cowls St, Mcminnville, OR 97128-6005 | Clinic/Center | 2014-01-04 |
| Anderson Free Clinic, Inc | 414 N Fant Street, Anderson, SC 29621-5716 | Clinic/Center | 2012-08-29 |
| Lestonnac Free Clinic | 1215 E Chapman Ave, Orange, CA 92866-2237 | Clinic/Center | 2015-11-04 |
| The Los Angeles Free Clinic | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | Community Health Clinic/Center | 2007-02-12 |
| The Saban Free Clinic | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | Community/Behavioral Health Agency | 2011-04-20 |
| Gennesaret Free Clinic, Inc | 725 N Alabama St, Indianapolis, IN 46204 | Primary Care Clinic/Center | 2008-05-06 |
| The Los Angeles Free Clinic · The Saban Free Clinic | 8405 Beverly Blvd, Los Angeles, CA 90048-3476 | Community Health Clinic/Center | 2012-05-08 |
| The Los Angeles Free Clinic - Mobile Clinic | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | Federally Qualified Health Center (FQHC) | 2022-04-06 |
| The Los Angeles Free Clinic · The Saban Free Clinic | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | Community Health Clinic/Center | 2012-05-08 |
| The Los Angeles Free Clinic · The Saban Free Clinic | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | Community Health Clinic/Center | 2012-05-08 |
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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. |