Tri State Clinic, Inc. in Grundy - Rural Health
Tri State Clinic, Inc. - NPI 1124097795
Tri State Clinic, Inc. is a Rural Health in Grundy, Virginia. Tri State Clinic, Inc. practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Tri State Clinic, Inc. is 1124097795. The last update date is 2010-03-09.
Tri State Clinic, Inc.'s current location address is 1520 Slate Creek Rd, Grundy, Virginia. You can contact this provider via phone number 2769358620 and fax number 2769354430. The mailing address for Tri State Clinic, Inc. is 1520 Slate Creek Rd, Grundy, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri State Clinic, Inc. |
|---|---|
| Address | 1520 Slate Creek Rd, Grundy, Virginia |
| Phone Number | 2769358620 |
| Fax Number | 2769354430 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Stacy Janet |
| Telephone Number | 2769358620 |
NPI Number Detail
| NPI Number | 1124097795 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2010-03-09 |
Provider Mailing Address Detail
| Address | 1520 Slate Creek Rd |
|---|---|
| City | Grundy |
| State | Virginia (VA) |
| Post Code | 246146975 |
| Phone Number | 2769358620 |
| Fax Number | 2769354430 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7610262 | VA | -- | |
| 35000470 | KY | -- | |
| 34714000 | WV | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tri State Clinic, Inc.?
The Tri State Clinic, Inc. has been issued the NPI (National Provider Identifier) 1124097795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tri State Clinic, Inc.'s facilities are situated?
The facilities of Tri State Clinic, Inc. are physically located at the following address: 1520 Slate Creek Rd, Grundy, VA, 246146975.
What is Tri State Clinic, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tri State Clinic, Inc.'s specialized field of practice is Rural Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr1300X.
On what date did the Tri State Clinic, Inc. receive the assignment of its 1124097795 from the Centers for Medicare & Medicaid Services?
The Tri State Clinic, Inc. was issued its 1124097795 by the Centers for Medicare & Medicaid Services on 2006-03-16.
When was the Tri State Clinic, Inc.'s information last updated?
The Tri State Clinic, Inc.'s information was last updated on 2010-03-09.