Clinch Valley Nephrology,Inc.

LBN: Clinch Valley Nephrology,Inc.
Clinch Valley Nephrology,Inc. is an health care organization with primary practice located at 2951 Front St Clinch Valley Medical Plaza, Suite 1600, Richlands VA 24641-2055. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Clinch Valley Nephrology,Inc. can be contacted via phone (276) 964-4001, or through Park, In Young via phone (276) 964-4001.

Contact Information

Primary practice address
2951 Front St Clinch Valley Medical Plaza, Suite 1600 Richlands VA 24641-2055
Fax:
Website:
Authorized official contact:
Name: Park, In Young Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101029175 Virginia

Profile Details

NPI number 1295914679
LBN Legal business name Clinch Valley Nephrology,Inc.
DBA Doing business as
Authorized official Park, In Young Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2007
Last updated Nov 1st, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295914679 NPPES
Virginia MEDICAID 5879884

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