Beachgate Family Medical Center LLC is a Primary Care Clinic/Center (organization) practicing in Colonial Beach, Virginia. The National Provider Identifier (NPI) is #1669829966, which was assigned on May 17, 2016, and the registration record was last updated on May 17, 2016. The practitioner's main practice location is at 700 Mckinney Blvd Ste 100, Colonial Beach, VA 22443-1933; the contact telephone number is 8042246322. The primary taxonomy of Beachgate Family Medical Center LLC is Primary Care Clinic/Center (261QP2300X), with specialization in Primary Care. The authorized official for Beachgate Family Medical Center LLC is Ms. Jessica Herrink (Member).
| NPI | 1669829966 |
| Entity Type | Organization |
| Organization Name | BEACHGATE FAMILY MEDICAL CENTER LLC |
| Provider Name | BEACHGATE FAMILY MEDICAL CENTER LLC |
| Practice Address |
700 Mckinney Blvd Ste 100 Colonial Beach VA 22443-1933 |
| Practice Telephone | 8042246322 |
| Mailing Address |
8546 Gray Fox Ln King George VA 22485-3572 |
| Mailing Telephone | 8047617792 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |
| Is Organization Subpart | N |
| Official Name | MS. JESSICA HERRINK |
| Official Title | MEMBER |
| Telephone | 8047617792 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QP2300X | Clinic/Center | Primary Care |
| Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Grouping | Ambulatory Health Care Facilities |
| Definition: Definition to come... |
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| Street Address |
8546 GRAY FOX LN |
| City | KING GEORGE |
| State | VA |
| Zip Code | 22485-3572 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kristie F Mcdowell | 11131 Journal Parkway, King George, VA 22485 | Medical Physician Assistant | 2006-06-09 |
| Kathleen Ann Fitzsimmons | 5506 Payne Dr, King George, VA 22485 | Professional Counselor | 2008-05-13 |
| Aleta M Dorm | 11399 Ianthas Way, King George, VA 22485-2452 | Licensed Practical Nurse | 2017-12-26 |
| Jill Bain Wine | 5254 Potomac Dr Ste A, King George, VA 22485 | Speech-Language Pathologist | 2015-12-21 |
| Michael Joseph Costa | 11131 Journal Parkway, King George, VA 22485 | Family Medicine Physician | 2006-08-16 |
| Adrian Thompson | 5920 Coakley Dr, King George, VA 22485-2442 | Speech-Language Pathologist | 2018-01-08 |
| Muriel Raglin | 15195 Kings Mill Rd, King George, VA 22485-2856 | Registered Dietitian | 2015-09-27 |
| King George County Schools | 9100 Saint Anthonys Rd, King George, VA 22485-0021 | Local Education Agency (LEA) | 2006-11-01 |
| Sarah H Davis | 8479 Saint Anthonys Rd, King George, VA 22485-3408 | Professional Counselor | 2017-10-31 |
| Lindsay Elizabeth Steele | 8479 Saint Anthonys Rd, King George, VA 22485-3408 | Clinical Social Worker | 2012-09-02 |
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|---|---|---|---|
| Eisner Pediatric and Family Medical Center | 15251 Roscoe Blvd, Panorama City, CA 91402-4401 | Case Manager/Care Coordinator | 2016-02-02 |
| Pediatric and Family Medical Center · Saban Eisner Family Health | 8405 Beverly Blvd, Los Angeles, CA 90048-3401 | Federally Qualified Health Center (FQHC) | 2020-03-12 |
| Family Center for Bipolar Disorder At Beth Israel Medical Center | 317 E 17th St, 5th Floor, Suite 13, New York, NY 10003-3804 | Clinical Psychologist | 2013-01-28 |
| Mark Twain Medical Center · Family Medical Center - Valley Springs | 1919 Vista Del Lago Dr, Valley Springs, CA 95252-9294 | Rural Health Clinic/Center | 2006-12-13 |
| Skagit Valley Medical Center Dba Cascade Family Medical Group | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | Family Medicine Physician | 2008-02-13 |
| Jersey Shore University Medical Center Family Health Center | 71 Davis Ave, Neptune, NJ 07753-4401 | General Acute Care Hospital | 2006-10-20 |
| Cumberland Family Medical Center, Inc. · Mccreary Family Medical Center | 69 S. Main Street, Whitley, KY 42653-0426 | Federally Qualified Health Center (FQHC) | 2009-12-07 |
| Eisner Pediatric and Family Medical Center | 6618 Van Nuys Blvd, Van Nuys, CA 91405-4617 | Case Manager/Care Coordinator | 2015-10-14 |
| Cumberland Family Medical Center, Inc. · Larue Family Medical Center | 215 E Main St, Hodgenville, KY 42748-1305 | Federally Qualified Health Center (FQHC) | 2017-03-15 |
| Pediatric and Family Medical Center · Saban Eisner Family Health | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | Federally Qualified Health Center (FQHC) | 2020-03-12 |
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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. |