| Clinch River Health Services, Inc. | |
|
17633 Veterans Memorial Hwy Suite 101 Dungannon VA 24245 | |
| (276) 467-2201 | |
| (276) 467-2673 |
| Full Name | Clinch River Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 17633 Veterans Memorial Hwy, Dungannon, Virginia |
| Authorized Official Name and Position | Gary Gilliam (ADMINISTRATOR) |
| Authorized Official Contact | 2764672201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinch River Health Services, Inc. 17633 Veterans Memorial Hwy Suite 101 Dungannon VA 24245 Ph: (276) 467-2201 | Clinch River Health Services, Inc. 17633 Veterans Memorial Hwy Suite 101 Dungannon VA 24245 Ph: (276) 467-2201 |
| NPI Number | 1508845389 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508845389 | NPI | - | NPPES |
| 007639431 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clinch River Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17285 Veterans Memorial Hwy, Dungannon, VA 24245 Phone: 276-467-2201 Fax: 276-467-2673 |