| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 233 Chase St., Clintwood, Virginia |
| Authorized Official Name and Position | Paula Meade (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2763288850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
233 Chase St. Clintwood VA 24228 Ph: (276) 926-2254 | 233 Chase St. Clintwood VA 24228 Ph: (276) 926-2254 |
| NPI Number | 1487818902 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487818902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0024128995 (Virginia) | Primary |
Dickenson Medical Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5607 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-4601 Fax: 276-926-4602 | |
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 | |
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 |