BLACKSTONE FAMILY PRACTICE CENTER
NPI 1184078800
Family Medicine in Blackstone, VA

Q: What is Bon Secours St. Francis Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 19, 2016CLIA 49D0230830 · Microscopy

213 N MAIN ST, BLACKSTONE, VA 23824(434) 292-7261(434) 292-7965 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blackstone Family Practice Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKSTONE FAMILY PRACTICE CENTER (NPI 1184078800) is a healthcare organization registered as a family medicine in Blackstone, Virginia and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through July 22, 2028 and lists George Butler, Director Corporate Responsibility, as its authorized official.

NPPES Registry Identity

NPI1184078800

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBON SECOURS ST. FRANCIS MEDICAL CENTER, INC.

Location Address213 N MAIN STBlackstone, VA 23824-1425

Mailing Address213 N Main StBlackstone, VA 23824-1425 · (434) 292-7261 · Fax (434) 292-7965

Phone(434) 292-7261

Fax(434) 292-7965

Organization SubpartNo

Authorized OfficialGeorge ButlerDirector Corporate Responsibility · (804) 281-0271

Enumeration DateApril 19, 2016

✔ NPI 1184078800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

213 N MAIN ST, Blackstone, VA 23824

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Other Names 1

Doing Business AsBlackstone Family Practice Center

Other Identifiers 1

OtherC09633VA · Group Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0230830

Blackstone Family Practice · Blackstone, VA

Active · expires Jul 22, 2028

CLIA Number49D0230830

Laboratory TypePhysician Office

Certificate Effective DateJuly 23, 2026

Certificate Expiration DateJuly 22, 2028

Laboratory DirectorLisa York

Laboratory Phone(434) 292-7261

Laboratory LocationBlackstone Family Practice213 N Main Street, Blackstone, VA 23824

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER JACOB CICCONE JR. DO

Student in an Organized Health Care Education/Training Program