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Contact Information

CLINCH VALLEY PULMONOLOGY LLC
2951 WEST FRONT STREET
SUITE 1000
RICHLANDS, VA24641
 Phone: 276-964-6966
 Fax: 276-963-3690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLINCH VALLEY PULMONOLOGY LLC

NPI Number 1306835673
LBN Legal business name CLINCH VALLEY PULMONOLOGY LLC
Authorized official KAREN MERRITT - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2005
Last updated 08/28/2007 - About 19 years ago
Identifiers
VA Medicaid 1306835673
WV Medicaid 0210133000
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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