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Contact Information

CLINCH VALLEY MEDICAL CENTER INC
2011 2ND ST
RICHLANDS, VA24641-2305
 Phone: 276-963-9577
 Fax: 276-963-4747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for CLINCH VALLEY MEDICAL CENTER INC

NPI Number 1760481147
LBN Legal business name CLINCH VALLEY MEDICAL CENTER INC
Authorized official JEFFREY SERAPHINE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2005
Last updated 02/05/2014 - About 12 years ago
Identifiers
VA Medicaid 008704279
VA Medicaid 010014492
VA Medicaid 010132274
VA Medicaid 4974999
VA Medicaid 8750572
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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