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
DUNGANNON, VA24245-3929
Phone: 276-467-2201
Fax: 276-467-2673
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Dental 261QD0000X

* Indicates primary specialty

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

NPI Number 1629860275
Legal business name
LBN
CLINCH RIVER HEALTH SERVICES, INC.
Authorized official GARY GILLIAM - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/20/2025
Last updated 07/24/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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