CLINCH VALLEY PHYSICIANS INC (NPI# 1912980855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912980855 |
| Entity Type | Organization |
| Organization Name | CLINCH VALLEY PHYSICIANS INC |
| Other Organization Name | THE CLINIC |
| Practice Address |
One Clinic Dr Claypool Hill Richlands VA 24641-1100 |
| Mailing Address |
Po Box Cvpi Richlands VA 24641-1100 |
| Practice Telephone | 2769646771 |
| Practice Fax Number | 2769641314 |
| Mailing Telephone | 2769646771 |
| Mailing Fax Number | 2769641314 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | DR. WILLIAM CRAWFORD HUNTER (PRESIDENT) |
| Authorized Official Telephone | 2769646771 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE GROUP NUMBER | 7988 | 01 |
| Other Name | Type Code |
|---|---|
| The Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939976 | Clinch Valley Physicians Inc | Clinic/Center | One Clinic Dr, Claypool Hill, Richlands, VA 24641 | 2005-11-18 |
| 1669454781 | Clinch Valley Physicians Inc | Clinical Medical Laboratory | 1 Clinic Dr, Claypool Hill, Richlands, VA 24641-1102 | 2005-11-15 |
| Street Address |
ONE CLINIC DR CLAYPOOL HILL |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508857947 | Timothy Marvin Trent | Physical Therapist | One Clinic Dr, Claypool Hill, Richlands, VA 24641-1100 | 2005-11-03 |
| 1578548707 | Ramon Avis Motos | Family Medicine | One Clinic Dr, Claypool Hill, Richlands, VA 24641-1100 | 2005-12-09 |
| 1417939976 | Clinch Valley Physicians Inc | Clinic/Center | One Clinic Dr, Claypool Hill, Richlands, VA 24641 | 2005-11-18 |
| 1962483339 | Jill Suzanne Matney | Nurse Practitioner | One Clinic Dr, Claypool Hill, Richlands, VA 24641-1100 | 2005-11-10 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508943507 | Washington Square Clinic Inc | Clinic/Center | 3150 Clinch St, Richlands, VA 24641 | 2006-11-01 |
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| 1306320130 | Quickcare Health Inc | Clinic/Center | 1013 University Blvd Ste 270-280, Suffolk, VA 23435-0048 | 2018-09-18 |
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| 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.