| Pikeville Medical Center, Inc. | |
|
1520 Slate Creek Rd Grundy VA 24614-6975 | |
| (276) 935-1640 | |
| (276) 935-0688 |
| Full Name | Pikeville Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1520 Slate Creek Rd, Grundy, Virginia |
| Authorized Official Name and Position | Michelle Hagy (CFO) |
| Authorized Official Contact | 6062183500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Medical Center, Inc. Po Box 432 Pikeville KY 41502-0432 Ph: (606) 430-3500 | Pikeville Medical Center, Inc. 1520 Slate Creek Rd Grundy VA 24614-6975 Ph: (276) 935-1640 |
| NPI Number | 1841426996 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 05/10/2022 |
| Medicare PECOS PAC ID | 6709790157 |
|---|---|
| Medicare Enrollment ID | O20090910000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841426996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | James Roger Sluss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245261783 PECOS PAC ID: 2163405283 Enrollment ID: I20040610000420 |
| Provider Name | Victoria Jerry Edmond-davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265471676 PECOS PAC ID: 2163483165 Enrollment ID: I20070130000751 |
| Provider Name | Tina M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376894840 PECOS PAC ID: 6103079645 Enrollment ID: I20130906000788 |
| Provider Name | Christopher C Reynolds |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831381755 PECOS PAC ID: 9032382783 Enrollment ID: I20141117001501 |
| Provider Name | Madhava T Pally |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821005422 PECOS PAC ID: 0345290649 Enrollment ID: I20180501000709 |
| Provider Name | Houston Aaron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295949220 PECOS PAC ID: 4789709627 Enrollment ID: I20190122003421 |
| Provider Name | Jonathan Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205246741 PECOS PAC ID: 2668690256 Enrollment ID: I20200601000305 |
Buchanan General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28567 Riverside Drive, Grundy, VA 24614 Phone: 276-935-1167 Fax: 276-935-1219 | |
Grundy Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 Slate Creek Road, Ste 203, Grundy, VA 24614 Phone: 276-935-4858 | |
Family Care Center Of Buchanan County, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1109 Plaza Dr Ste 1, East Grundy Plaza, Grundy, VA 24614 Phone: 276-935-2677 Fax: 276-935-5775 | |
Tri State Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1520 Slate Creek Rd, Grundy, VA 24614 Phone: 276-935-8620 Fax: 276-935-4430 | |
Buchanan Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rt 5, Bgh Prof Bldg Suite 101, Grundy, VA 24614 Phone: 276-935-2080 Fax: 276-935-2082 | |
Commonwealth Internal Medicine And Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 Slate Creek Rd Ste 106, Box 173, Grundy, VA 24614 Phone: 276-935-1592 | |
Town Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Riverview St, Grundy, VA 24614 Phone: 267-385-1186 |