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
Phone: (423) 378-1500
Fax: (423) 378-1520
Website:
Authorized official contact:
Name: Grigsby, Holly Charlene Doctor of Medicine (MD)
Phone: (423) 378-1500
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316228075 | NPPES |
Virginia | MEDICAID | 1316228075 | |
Virginia | MEDICAID | 1527171 |
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