Clinch River Health Services | |
17285 Veterans Memorial Hwy Dungannon VA 24245 | |
(276) 467-2201 | |
(276) 467-2673 |
Full Name | Clinch River Health Services |
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Speciality | Clinic/Center |
Location | 17285 Veterans Memorial Hwy, Dungannon, Virginia |
Authorized Official Name and Position | Gary Gilliam (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2764672201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinch River Health Services Po Box 4710 Glen Allen VA 23058-4710 Ph: (804) 237-7690 | Clinch River Health Services 17285 Veterans Memorial Hwy Dungannon VA 24245 Ph: (276) 467-2201 |
NPI Number | 1558653741 |
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Provider Enumeration Date | 05/06/2011 |
Last Update Date | 02/25/2022 |
Medicare PECOS PAC ID | 6709835002 |
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Medicare Enrollment ID | O20050113000430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558653741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Todd A Cassel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881672160 PECOS PAC ID: 8628193893 Enrollment ID: I20100910000581 |
Provider Name | Mikella Blake Maine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912255001 PECOS PAC ID: 2365691714 Enrollment ID: I20131023001269 |
Provider Name | Gary W Gilliam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154704708 PECOS PAC ID: 2365757879 Enrollment ID: I20150812008860 |
Provider Name | Crystal D Ball |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053863688 PECOS PAC ID: 7719269851 Enrollment ID: I20170124002994 |
Provider Name | Svetlana Grinberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396146486 PECOS PAC ID: 4284994252 Enrollment ID: I20190221001139 |
Provider Name | Sutton A Hess |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548807068 PECOS PAC ID: 3375971724 Enrollment ID: I20200317002538 |
Provider Name | Abagail G Farmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770166761 PECOS PAC ID: 6204228901 Enrollment ID: I20220107002259 |
Provider Name | Jenell D Joines |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326504168 PECOS PAC ID: 1052705506 Enrollment ID: I20220225000873 |
Provider Name | Rachel Owens Burke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720559537 PECOS PAC ID: 6507249083 Enrollment ID: I20220816002118 |
Provider Name | Taylor Nicole Salyers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437921657 PECOS PAC ID: 7113379553 Enrollment ID: I20240122001174 |
Provider Name | Julie Meade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740066893 PECOS PAC ID: 8628413671 Enrollment ID: I20240229000563 |
Clinch River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17633 Veterans Memorial Hwy, Suite 101, Dungannon, VA 24245 Phone: 276-467-2201 Fax: 276-467-2673 |