CLINCH VALLEY MEDICAL CENTER INC. (NPI# 1538102827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538102827 |
| Entity Type | Organization |
| Organization Name | CLINCH VALLEY MEDICAL CENTER INC. |
| Other Organization Name | CLINCH VALLEY MEDICAL CENTER - SNF UNIT |
| Practice Address |
6801 Governor Gc Peery Hwy Richlands VA 24641-2194 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 2765966000 |
| Practice Fax Number | 2765966009 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | VICTOR E. GIOVANETTI (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLINCH VALLEY MEDICAL CENTER INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BLUE CROSS SNF PROVIDER NUMBER | 000756 | 01 |
| VA | 004951816 | 05 |
| Other Name | Type Code |
|---|---|
| Clinch Valley Medical Center - SNF Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534297 | Clinch Valley Medical Center Inc. | General Acute Care Hospital | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2006-06-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Clinch Valley Medical Center Inc. | 330 Seven Springs Way, Brentwood, Tennessee 37027 |
| Street Address |
6801 GOVERNOR GC PEERY HWY |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249950 | Dorid Kadri-al Turjman | Pathology | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2005-07-15 |
| 1386204329 | Autumn Samantha Messer | Nurse Anesthetist, Certified Registered | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2019-06-20 |
| 1669831566 | Tiffany Miller | Nurse Anesthetist, Certified Registered | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2016-02-19 |
| 1831412030 | Clinch Valley Medical Center, Inc. | Medicare Defined Swing Bed Unit | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2010-03-03 |
| 1902849201 | Clinch Valley Medical Center Inc | Rehabilitation Unit | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2006-06-14 |
| 1871534297 | Clinch Valley Medical Center Inc. | General Acute Care Hospital | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2006-06-09 |
| 1518910355 | Mindaugas Viela | Anesthesiology | 6801 Governor Gc Peery Hwy, Clinch Valley Medical Center, Richlands, VA 24641-2194 | 2006-05-19 |
| 1699774273 | Clinch Pathology Associates PC | Pathology | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1740635549 | Najlaa Jaleesah | Emergency Medicine | 6801 Gov George C. Peery Hwy, Richlands, VA 24641 | 2016-04-28 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1134403090 | Clinch Valley Vascular Surgery Associates | General Acute Care Hospital | 6719 Gov G. C. Peery Highway, 2600, Richlands, VA 24641 | 2011-10-10 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1144477134 | Paul R Goyt | Emergency Medicine | 6801 Governor G C Peery Hwy, Richlands, VA 24641 | 2008-08-21 |
| Find all providers in zip 24641 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1134760432 | Valley Operator LLC | Skilled Nursing Facility | 940 E Lee Hwy, Chilhowie, VA 24319-3237 | 2019-10-08 |
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1437790730 | Hopewell Operator LLC | Skilled Nursing Facility | 905 Cousins Ave, Hopewell, VA 23860-6507 | 2019-10-08 |
| 1013478411 | Blue Ridge Snf Operations LLC | Skilled Nursing Facility | 105 Landmark Dr, Stuart, VA 24171-9401 | 2019-03-28 |
| 1265924260 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Road, Nassawadox, VA 23413-0176 | 2018-06-05 |
| 1518459593 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-06-05 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CLINCH VALLEY MEDICAL CENTER INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.