CLINCH VALLEY FAMILY PODIATRY, PLLC; NPI #1962532218

Contact Information

CLINCH VALLEY FAMILY PODIATRY, PLLC

6719 GOVERNOR G.C. PEERY HWY
SUITE 3800
RICHLANDS, VA 24641

Phone: 276-596-9346
Fax: 276-596-9348
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for CLINCH VALLEY FAMILY PODIATRY, PLLC

NPI Number 1962532218

LBN Legal business name CLINCH VALLEY FAMILY PODIATRY, PLLC

Authorized official SAMUEL SCOTT - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/06/2007

Last updated 06/03/2022 - About 4 years ago

Identifiers

VA	License #	0103300952
VA	Medicaid	1962532218
WV	Medicaid	3810006139

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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CLINCH VALLEY FAMILY PODIATRY, PLLC

Contact Information

Specialty

Surgery, Foot

NPI Profile & details for CLINCH VALLEY FAMILY PODIATRY, PLLC

Reviews for CLINCH VALLEY FAMILY PODIATRY, PLLC