Organization · Type 2 NPI
Dickenson Medical Associates A Department of Dickenson Community Hospi
Rural Health Clinic/Center · Clintwood, VA
NPI number
1871517151
Active
Practice location
364 Hospital Dr
Clintwood, VA 24228-6786
Fax (276) 926-6675
Mailing address
509 Med Tech Pkwy Ste 100
Johnson City, TN 37604-2579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101240240 (VA) |
| Family Medicine Physician | 207Q00000X | 0101016773 (VA) |
| Internal Medicine Physician | 207R00000X | 0102201380 (VA) |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Nurse Practitioner | 363L00000X | 0017001384 (VA) |
Rural Health Clinic/Center: Definition to come...
6 other providers at this address
- Dickenson Community Hospital, Inc.Psychiatry Physician Clintwood, VA NPI 1679992358
- Dickenson Community Hospital, Inc.Rural Health Clinic/Center Clintwood, VA NPI 1952072407
- Heather Dawn Blair, FNPFamily Nurse Practitioner Clintwood, VA NPI 1629318324
- Jessica A. Fox, NPFamily Nurse Practitioner Clintwood, VA NPI 1801271267
- Lurton B. Lyle, MDFamily Medicine Physician Clintwood, VA NPI 1912938192
- Paula VanoverNurse Practitioner Clintwood, VA NPI 1528725041
Other rural health clinic/center providers in Clintwood
About NPI 1871517151
Dickenson Medical Associates A Department of Dickenson Community Hospi's National Provider Identifier is 1871517151, issued on Jul 27, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Clintwood, VA. The record was last updated on Aug 12, 2024.