Clinchfield Family Medicine, Pllc

LBN: Clinchfield Family Medicine, Pllc
Clinchfield Family Medicine, Pllc is an health care organization with primary practice located at 1936 Brookside Dr Ste E , Kingsport TN 37660-4654. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Clinchfield Family Medicine, Pllc can be contacted via phone (423) 378-1500, or through Grigsby, Holly Charlene via phone (423) 378-1500.

Contact Information

Primary practice address
1936 Brookside Dr Ste E Kingsport TN 37660-4654
Fax: (423) 378-1520
Website:
Authorized official contact:
Name: Grigsby, Holly Charlene Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0000042820 Tennessee

Profile Details

NPI number 1316228075
LBN Legal business name Clinchfield Family Medicine, Pllc
DBA Doing business as
Authorized official Grigsby, Holly Charlene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2011
Last updated May 15th, 2024 - about 6 months 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 1316228075 NPPES
Virginia MEDICAID 1316228075
Virginia MEDICAID 1527171

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