STONY CREEK COMMUNITY HEALTH CENTER
NPI 1376515031
Clinic/Center - Federally Qualified Health Center (FQHC) in Stony Creek, VA

Active since February 06, 2006CLIA 49D0231083 · Waiver
12454 HARTLEY ST, STONY CREEK, VA 23882(434) 246-6100(434) 246-6614 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stony Creek Community Health Center NPPES

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

STONY CREEK COMMUNITY HEALTH CENTER (NPI 1376515031) is a healthcare organization registered as a federally qualified health center (fqhc) in Stony Creek, Virginia and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Lucy J Elder, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376515031
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSTONY CREEK COMMUNITY HEALTH CENTER
Location Address12454 HARTLEY STStony Creek, VA 23882-3302
Mailing Address12454 Hartley StStony Creek, VA 23882-3302 · (434) 246-6100 · Fax (434) 246-6614
Fax(434) 246-6614
Organization SubpartNo
Authorized OfficialLucy J ElderExecutive Director · (434) 246-3501
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMay 8, 2020
NPPES CertifiedMay 8, 2020
NPI 1376515031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
12454 HARTLEY ST, Stony Creek, VA 23882

Other Identifiers 1

Medicaid007636407VA

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 49D0231083

Stony Creek Community Health Ctr · Stony Creek, VA
Active · expires Mar 31, 2027
CLIA Number49D0231083
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorMichael D. Matherlee
Laboratory Phone(434) 246-3501
Laboratory LocationStony Creek Community Health Ctr12545 Hartley Street, Stony Creek, VA 23882
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
12454 HARTLEY ST
STONY CREEK, VA 23882
Family Medicine
12454 HARTLEY ST
STONY CREEK, VA 23882

Frequently 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 Stony Creek Community Health Center's NPI number?

The NPI number for Stony Creek Community Health Center is 1376515031. It was assigned to this organization in the NPPES registry on February 6, 2006.

Where is Stony Creek Community Health Center located?

Stony Creek Community Health Center is located at 12454 Hartley St, Stony Creek, VA 23882. The listed phone number is (434) 246-6100.

What is Stony Creek Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Stony Creek Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0231083) is associated with this NPI, valid through March 31, 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 Stony Creek Community Health Center was last updated on May 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.