UPPER MATTAPONI INDIAN TRIBE — NPI 1245098391 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in AYLETT, VA)

CMS-1500 Box 24J / 33a • NPI

1245098391

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QD0000X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

8014 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA, 23009-3056

✓ 9-Digit EDI 837 ZIP+4 (23009-3056)

Practice Phone & Referral Fax

(804) 769-2015

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245098391 (UPPER MATTAPONI INDIAN TRIBE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245098391` (NPI-2 Organization / Facility)
Provider / Legal Name	UPPER MATTAPONI INDIAN TRIBE
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QD0000X` (Clinic/Center, Dental)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	8014 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA, 23009-3056
Practice Telephone / Fax	Tel: (804) 769-2015
Administrative Mailing Address	13476 KING WILLIAM RD, KING WILLIAM, VA, 23086-3401
Enumeration & Last Sync	Enumerated: 2024-03-12 \| CMS Record Updated: 2024-06-27
Authorized Official	STEVEN TUPPONCE (Director-UMIT Health Services)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8014 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA, 23009-3056

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Plain-English Taxonomy & CMS Crosswalk (261QD0000X)

What Does Taxonomy Code 261QD0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QD0000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (UPPER MATTAPONI INDIAN TRIBE)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1223G0001X` — Dentist, General Practice Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: N/A \| License: `Verified` \| Primary: Secondary
`1223P0221X` — Dentist, Pediatric Dentistry Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QD0000X` — Clinic/Center, Dental Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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UPPER MATTAPONI INDIAN TRIBE (NPI #1245098391)