Clinch Valley Urology, Llc

LBN: Clinch Valley Urology, Llc
Clinch Valley Urology, Llc is an health care organization with primary practice located at 6719 Gov G. C. Peery Hwy Suite 1800, Richlands VA 24641-2055. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Clinch Valley Urology, Llc can be contacted via phone (276) 596-6659, or through Judy, Jess via phone (615) 565-1508.

Contact Information

Primary practice address
6719 Gov G. C. Peery Hwy Suite 1800 Richlands VA 24641-2055
Fax: (276) 596-6658
Website:
Authorized official contact:
Name: Judy, Jess

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1114955168
LBN Legal business name Clinch Valley Urology, Llc
DBA Doing business as
Authorized official Judy, Jess
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 14th, 2010 - about 14 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 1114955168 NPPES
Virginia MEDICAID 1114955168

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