Dickenson Medical Clinic Pc in Clintwood - Primary Care

Dickenson Medical Clinic Pc - NPI 1033153879

Dickenson Medical Clinic Pc is a Primary Care in Clintwood, Virginia. Dickenson Medical Clinic Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Dickenson Medical Clinic Pc is 1033153879. The last update date is 2010-03-31.

Dickenson Medical Clinic Pc's current location address is Po Box 2224, Clintwood, Virginia. You can contact this provider via phone number 2769264601 and fax number 2769264602. The mailing address for Dickenson Medical Clinic Pc is Po Box 2224, Clintwood, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dickenson Medical Clinic Pc
Address Po Box 2224, Clintwood, Virginia
Phone Number 2769264601
Fax Number 2769264602
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ibrahim Rimon
Credentials M.D.
Telephone Number 2769264601

NPI Number Detail

NPI Number 1033153879
Provider Enumeration Date 2006-06-15
Last Updated Date 2010-03-31

Provider Mailing Address Detail

Address Po Box 2224
City Clintwood
State Virginia (VA)
Post Code 242282224
Phone Number 2769264601
Fax Number 2769264602

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 101051077
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10264995 VA --

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FAQs about Dickenson Medical Clinic Pc

What is the unique identification code assigned to Dickenson Medical Clinic Pc by the Centers for Medicare & Medicaid Services?

The Dickenson Medical Clinic Pc has been issued the NPI (National Provider Identifier) 1033153879. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Dickenson Medical Clinic Pc's physical address?

The Dickenson Medical Clinic Pc is physically located at Po Box 2224, in the city of Clintwood, VA, with the postal code 242282224.

What is Dickenson Medical Clinic Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dickenson Medical Clinic Pc is Primary Care, and the taxonomy code that categorizes this field of expertise is 261Qp2300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1033153879 to Dickenson Medical Clinic Pc?

The Dickenson Medical Clinic Pc received its 1033153879 assignment from the Centers for Medicare & Medicaid Services on 2006-06-15.

As of what date was the information pertaining to Dickenson Medical Clinic Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dickenson Medical Clinic Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-31.

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