SHENANDOAH COUNTY FREE CLINIC INC
NPI 1235403361
Public Health or Welfare in Woodstock, VA
About Shenandoah County Free Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHENANDOAH COUNTY FREE CLINIC INC (NPI 1235403361) is a healthcare organization registered as a public health or welfare in Woodstock, Virginia and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Kimberly Williams, Operations Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shenandoah County Free Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Shenandoah County Free Clinic Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Waiver 49D2000618
Shenandoah County Free Clinic · Woodstock, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shenandoah County Free Clinic Inc's NPI number?
The NPI number for Shenandoah County Free Clinic Inc is 1235403361. It was assigned to this organization in the NPPES registry on March 7, 2012.
Where is Shenandoah County Free Clinic Inc located?
Shenandoah County Free Clinic Inc is located at 124 Valley Vista Dr, Woodstock, VA 22664. The listed phone number is (540) 459-1700.
What is Shenandoah County Free Clinic Inc's specialty?
The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.
Is Shenandoah County Free Clinic Inc enrolled in Medicare?
Yes. Shenandoah County Free Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shenandoah County Free Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Shenandoah County Free Clinic Inc, in Clinical Social Worker, Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shenandoah County Free Clinic Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2000618) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shenandoah County Free Clinic Inc was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shenandoah County Free Clinic Inc · NPI 1235403361
Public Health or Welfare organization in Woodstock, Virginia. Organization record, active in the CMS NPPES registry since March 7, 2012.
## Identity
- **NPI:** 1235403361 (Entity type: Organization)
- **Enumerated:** March 7, 2012
- **Primary specialty:** Public Health or Welfare · taxonomy 251K00000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Williams, OPERATIONS DIRECTOR
## Practice location
- **Address:** 124 VALLEY VISTA DR, Woodstock, VA 22664-1608
- **Phone:** (540) 459-1700 · **Fax:** (540) 459-1809
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Mental Health Counselor (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235403361) · Data from the CMS NPPES public registry.