Tristate Rural Health Clinic

LBN: Tristate Rural Health Clinic
Tristate Rural Health Clinic is an health care organization with primary practice located at 20757 Riverside Dr , Grundy VA 24614-6746. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Tristate Rural Health Clinic can be contacted via phone (276) 935-6424, or through Stacy, Janet via phone (276) 935-6044.

Contact Information

Primary practice address
20757 Riverside Dr Grundy VA 24614-6746
Phone: (276) 935-6424
Fax: (276) 935-2494
Website:
Map and Directions
Authorized official contact:
Name: Stacy, Janet
Phone: (276) 935-6044

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0101031664 Virginia

Profile Details

NPI number 1568622868
LBN Legal business name Tristate Rural Health Clinic
DBA Doing business as
Authorized official Stacy, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2008
Last updated Jun 11th, 2008 - about 17 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 1568622868 NPPES
Virginia MEDICAID 006091750

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