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County Med, LLC

Primary Care Clinic/Center in Blackstone, VA · enumerated 2022 · authorized official Shantel Latta, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407580483

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Registry record

Entity type Organization (Type 2)
Legal business name County Med, LLC
Practice address 103 E Broad St, Blackstone, VA, 23824
Phone (434) 264-3221
Enumeration date Jul 14, 2022
Last updated in NPPES Aug 1, 2023

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Shantel Latta
Title Owner
Phone (434) 294-3825

Other identifiers

Identifier Type State Issuer
30017485050002 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for County Med, LLC?
NPPES lists Shantel Latta (Owner) as the authorized official for this organization.
What is the NPI number for County Med, LLC?
The NPI for County Med, LLC is 1407580483, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-01.