| NPI | 1205815420 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-01-16 |
| Last Updated | 2023-10-23 |
| Authorized Official | Jonathan Stewart Chief Executive Officer Phone: 5408611263 |
| Mailing Address | 3716 Melrose Ave Nw Roanoke, VA 24017-2716 United States Phone: (540) 362-5158 | Fax: (540) 362-1448 📍 View Map |
| Primary Practice Address | 3716 Melrose Ave Nw Roanoke, VA 24017-2716 United States Phone: (540) 362-5158 | Fax: (540) 362-1448 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | VA | 007600321 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | - | - |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1205815420
Kuumba Community Health & Wellness Center, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1205815420. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Roanoke, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205815420?
NPI 1205815420 belongs to Kuumba Community Health & Wellness Center, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Roanoke, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205815420 active?
The current status of NPI 1205815420 in the NPPES registry is Active. The record was last updated on 2023-10-23.
What specialty is NPI 1205815420?
NPI 1205815420 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205815420?
You can verify NPI 1205815420 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205815420?
The primary practice address on file for NPI 1205815420 is 3716 Melrose Ave Nw, Roanoke, VA 24017-2716. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205815420 issued?
NPI 1205815420 was first issued (enumerated) on 2006-01-16. The NPPES record was last updated on 2023-10-23.
Practice Location Map
Kuumba Community Health & Wellness Center, Inc. is located at 3716 Melrose Ave Nw, Roanoke, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kuumba Community Health & Wellness Center, Inc.. All records sourced from the CMS NPPES registry.