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LACKEY FREE FAMILY MEDICINE CLINIC
NPI 1699082446
Clinic/Center - Primary Care in Yorktown, VA

Active since August 31, 2010
1620 OLD WILLIAMSBURG RD, YORKTOWN, VA 23690(757) 886-0608(757) 369-3821 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lackey Free Family Medicine Clinic NPPES

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

LACKEY FREE FAMILY MEDICINE CLINIC (NPI 1699082446) is a healthcare organization registered as a primary care in Yorktown, Virginia and active in the NPI registry since August 2010. The organization lists Robert Bradley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699082446
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOLIVET MEDICAL MINISTRY
Location Address1620 OLD WILLIAMSBURG RDYorktown, VA 23690-3910
Mailing Address1620 Old Williamsburg RdYorktown, VA 23690-3910 · (757) 886-0608 · Fax (757) 369-3821
Phone(757) 886-0608
Fax(757) 369-3821
Organization SubpartNo
Authorized OfficialRobert BradleyExecutive Director · (757) 886-0608
Enumeration DateAugust 31, 2010
✔ NPI 1699082446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 0024164154
1620 OLD WILLIAMSBURG RD, Yorktown, VA 23690
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Other Names 1

Other NameLackey Free Family Medicine Clinic

Other Providers at the Same Location NPPES 8

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

MARGARET H JOHNSON FNP
Nurse Practitioner (Family)
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
York County (757) 886-0608
MRS. JEAN NMN KEATING ANP
Clinical Nurse Specialist (Adult Health)
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
York County (757) 886-0608
MRS. YOLANDA ANGUS FNP
Nurse Practitioner (Family)
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
York County (757) 886-0608
OLIVET MEDICAL MINISTRY, INC
Pharmacy (Clinic Pharmacy)
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
York County (757) 886-0608
DR. JILL S COTTEL MD
Internal Medicine
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
York County (757) 886-0608
RACHEL MURRAY MCCLURE
Nurse Practitioner (Family)
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
York County (757) 886-0608
DIANNE MARIE GUSE RPH
Pharmacist
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
York County (757) 886-0608
CAROL T STAFFORD RN
Registered Nurse
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
York County (757) 886-0608

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 Olivet Medical Ministry's NPI number?

The NPI number for Olivet Medical Ministry is 1699082446. It was assigned to this organization in the NPPES registry on August 31, 2010. The provider is also known as Lackey Free Family Medicine Clinic.

Where is Olivet Medical Ministry located?

Olivet Medical Ministry is located at 1620 Old Williamsburg Rd, Yorktown, VA 23690. The listed phone number is (757) 886-0608.

What is Olivet Medical Ministry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Olivet Medical Ministry was last updated on August 31, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.