National Provider Identifier Database

CLINCH RIVER HEALTH SERVICES INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CLINCH RIVER HEALTH SERVICES, INC.
17633 VETERANS MEMORIAL HWY
SUITE 101
DUNGANNON, VA24245
Phone: 276-467-2201
Fax: 276-467-2673
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CLINCH RIVER HEALTH SERVICES, INC.

NPI Number 1508845389
Legal business name
LBN
CLINCH RIVER HEALTH SERVICES, INC.
Authorized official GARY GILLIAM - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 01/11/2006
Last updated 02/25/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 007639431

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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