Clinch River Health Services, Inc.

LBN: Clinch River Health Services, Inc.
Clinch River Health Services, Inc. is an health care organization with primary practice located at 17633 Veterans Memorial Hwy Suite 101, Dungannon VA 24245. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Clinch River Health Services, Inc. can be contacted via phone (276) 467-2201, or through Gilliam, Gary via phone (276) 467-2201.

Contact Information

Primary practice address
17633 Veterans Memorial Hwy Suite 101 Dungannon VA 24245
Phone: (276) 467-2201
Fax: (276) 467-2673
Website:
Map and Directions
Authorized official contact:
Name: Gilliam, Gary
Phone: (276) 467-2201

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1508845389
LBN Legal business name Clinch River Health Services, Inc.
DBA Doing business as
Authorized official Gilliam, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2006
Last updated Feb 25th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508845389 NPPES
Virginia MEDICAID 007639431

Popular Providers