| Dickenson Medical Clinic Pc | |
|
5607 Dickenson Hwy Clintwood VA 24228-7009 | |
| (276) 926-4601 | |
| (276) 926-4602 |
| Full Name | Dickenson Medical Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5607 Dickenson Hwy, Clintwood, Virginia |
| Authorized Official Name and Position | Rimon Ibrahim (PRESIDENT) |
| Authorized Official Contact | 2769264601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickenson Medical Clinic Pc Po Box 2224 Clintwood VA 24228-2224 Ph: (276) 926-4601 | Dickenson Medical Clinic Pc 5607 Dickenson Hwy Clintwood VA 24228-7009 Ph: (276) 926-4601 |
| NPI Number | 1033153879 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 03/31/2010 |
| Medicare PECOS PAC ID | 0840202362 |
|---|---|
| Medicare Enrollment ID | O20060628000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033153879 | NPI | - | NPPES |
| 010264995 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101051077 (Virginia) | Primary |
| Provider Name | Rimon M Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811934698 PECOS PAC ID: 5496724098 Enrollment ID: I20040930000263 |
| Provider Name | Vanessa T Salyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205861333 PECOS PAC ID: 9537161476 Enrollment ID: I20070206000740 |
| Provider Name | Melinda Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861770380 PECOS PAC ID: 2668647553 Enrollment ID: I20111205000182 |
| Provider Name | Leslie A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720355977 PECOS PAC ID: 0648437913 Enrollment ID: I20180216000319 |
| Provider Name | Jessica Faye Rasnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861809410 PECOS PAC ID: 0345462115 Enrollment ID: I20190204002747 |
| Provider Name | Nikki Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821553371 PECOS PAC ID: 6901134873 Enrollment ID: I20210219000271 |
| Provider Name | Taylor Rae Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637927 PECOS PAC ID: 9335538057 Enrollment ID: I20211117002300 |
| Provider Name | Loleatta B. Linkous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124605761 PECOS PAC ID: 8022407667 Enrollment ID: I20211119001151 |
Dickenson County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Brush Creek Road, Clintwood, VA 24228 Phone: 276-926-4979 Fax: 276-926-4426 | |
Walid Saado Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5476 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-5511 Fax: 276-926-5513 | |
Dickenson After Hours Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5607 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-4601 Fax: 276-926-4602 | |
Rpm Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 329 Phipps Cir, Clintwood, VA 24228 Phone: 276-393-2408 | |
The Health Wagon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Chase St., Clintwood, VA 24228 Phone: 276-926-2254 | |
Dickenson Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5607 Dickenson Highway, Clintwood, VA 24228 Phone: 276-926-4601 Fax: 276-926-4602 |