Atlantic Community Health Center | |
5219 Lankford Hwy New Church VA 23415-3332 | |
(757) 824-5676 | |
(757) 824-5872 |
Full Name | Atlantic Community Health Center |
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Speciality | Clinic/Center |
Location | 5219 Lankford Hwy, New Church, Virginia |
Authorized Official Name and Position | Jeannette Edwards (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7574140400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlantic Community Health Center 20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0401 | Atlantic Community Health Center 5219 Lankford Hwy New Church VA 23415-3332 Ph: (757) 824-5676 |
NPI Number | 1043341613 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 03/22/2023 |
Medicare PECOS PAC ID | 2668380106 |
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Medicare Enrollment ID | O20040122001049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043341613 | NPI | - | NPPES |
007695187 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Elizabeth A Hubbard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972507721 PECOS PAC ID: 6901708601 Enrollment ID: I20040123000037 |
Provider Name | Joan K Lingen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336127539 PECOS PAC ID: 0042233447 Enrollment ID: I20060111001229 |
Provider Name | Jean S Laughman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730148669 PECOS PAC ID: 5991721771 Enrollment ID: I20061219000181 |
Provider Name | Nancy T Hargis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063528990 PECOS PAC ID: 5294735650 Enrollment ID: I20070109000056 |
Provider Name | Nathan S Davidson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700952082 PECOS PAC ID: 2860572096 Enrollment ID: I20071231000198 |
Provider Name | Debra M G Murray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437123882 PECOS PAC ID: 7719034776 Enrollment ID: I20090408000144 |
Provider Name | Margaret M Stiles |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669405502 PECOS PAC ID: 3375692429 Enrollment ID: I20090519000607 |
Provider Name | Kelly M Washburn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376738930 PECOS PAC ID: 0446347009 Enrollment ID: I20091109000297 |
Provider Name | Jeremy P Siegrist |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1952509390 PECOS PAC ID: 6507999703 Enrollment ID: I20100809000050 |
Provider Name | David K Hoshino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811975147 PECOS PAC ID: 6507059441 Enrollment ID: I20101022001191 |
Provider Name | Thomas G Hollandsworth |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386622611 PECOS PAC ID: 7012102890 Enrollment ID: I20101108000413 |
Provider Name | Jeanne R Roll |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972581049 PECOS PAC ID: 6608063631 Enrollment ID: I20101203000061 |
Provider Name | Nicole Marsh |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1356584171 PECOS PAC ID: 8921254905 Enrollment ID: I20120807000438 |
Provider Name | Lucas Allen Fussell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619226438 PECOS PAC ID: 7911156914 Enrollment ID: I20121008000502 |
Provider Name | Jynnifer L Albano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952722332 PECOS PAC ID: 2365675592 Enrollment ID: I20140423002185 |
Provider Name | Albert John Halls |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063476471 PECOS PAC ID: 0547230492 Enrollment ID: I20140509001952 |
Provider Name | Ian C Giles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891145645 PECOS PAC ID: 9830452416 Enrollment ID: I20180530002399 |
Provider Name | Svetlana Grinberg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396146486 PECOS PAC ID: 4284994252 Enrollment ID: I20190221001139 |
Provider Name | Macy Rupprecht |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558719856 PECOS PAC ID: 4880988518 Enrollment ID: I20191003002179 |
Provider Name | Paige D Mclean |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316586225 PECOS PAC ID: 9234550112 Enrollment ID: I20200601002362 |
Provider Name | Colleen M Forst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982292116 PECOS PAC ID: 5698179075 Enrollment ID: I20210806001444 |
Provider Name | Tyler Matthew Rodriguez-lichtenberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780357228 PECOS PAC ID: 2567852528 Enrollment ID: I20211206001907 |
Provider Name | Michael A Crum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881694248 PECOS PAC ID: 4284668096 Enrollment ID: I20220512001103 |
Provider Name | Jennifer Eaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518365881 PECOS PAC ID: 0941525463 Enrollment ID: I20220519002559 |
Provider Name | Michael Sy Basuel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689652844 PECOS PAC ID: 8729086962 Enrollment ID: I20220617002628 |
Provider Name | Crystal R Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447915483 PECOS PAC ID: 9032509229 Enrollment ID: I20220805000560 |
Provider Name | Grace Lynn St.pierre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750815429 PECOS PAC ID: 1951679539 Enrollment ID: I20220826002925 |
Provider Name | Laura Wagner Crum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114168440 PECOS PAC ID: 3375690423 Enrollment ID: I20220912002525 |
Provider Name | Suzanne E Omrod |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023378676 PECOS PAC ID: 7810110228 Enrollment ID: I20230210000120 |
Provider Name | Frances Evonne Butler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972111375 PECOS PAC ID: 9537568167 Enrollment ID: I20230929002534 |
Provider Name | Benzon H Huynh |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1477080612 PECOS PAC ID: 3577919919 Enrollment ID: I20231026000492 |
Provider Name | Allison Marie Denston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184406407 PECOS PAC ID: 7517304645 Enrollment ID: I20240325001153 |
Provider Name | Heather Colleen Frisby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417725805 PECOS PAC ID: 4880031939 Enrollment ID: I20240325002104 |
Provider Name | Deborah C Gootee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356337208 PECOS PAC ID: 4789614645 Enrollment ID: I20240425000111 |
Provider Name | Michael Rhodes King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699545848 PECOS PAC ID: 5193165298 Enrollment ID: I20240508002497 |
Provider Name | Nicole Freda Wynder |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245567866 PECOS PAC ID: 1052757101 Enrollment ID: I20240611002070 |