Clinch River Health Services Inc - Medicare Primary Care in Dungannon, VA

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Clinch River Health Services Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Dungannon, Virginia. The current practice location for Clinch River Health Services Inc is 17285 Veterans Memorial Hwy, Dungannon, Virginia. For appointments, you can reach them via phone at (276) 467-2201. The mailing address for Clinch River Health Services Inc is Po Box 4710, Glen Allen, Virginia and phone number is (804) 237-7690.

Clinch River Health Services Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1558653741. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (276) 467-2201.

Contact Information

Clinch River Health Services Inc
17285 Veterans Memorial Hwy
Dungannon
VA 24245
(276) 467-2201
(276) 467-2673

Map and Direction


Primary Care Clinic Profile

Full NameClinch River Health Services Inc
SpecialityClinic/Center
Location17285 Veterans Memorial Hwy, Dungannon, Virginia
Authorized Official Name and PositionGary Gilliam (EXECUTIVE DIRECTOR)
Authorized Official Contact2764672201
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clinch River Health Services Inc
Po Box 4710
Glen Allen
VA 23058-4710

Ph: (804) 237-7690		Clinch River Health Services Inc
17285 Veterans Memorial Hwy
Dungannon
VA 24245

Ph: (276) 467-2201

NPI Details:

NPI Number1558653741
Provider Enumeration Date05/06/2011
Last Update Date02/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6709835002
Medicare Enrollment IDO20050113000430

Medical Identifiers

Medical identifiers for Clinch River Health Services Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558653741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clinch River Health Services Inc acts as a billing entity for following providers:
Provider NameTodd A Cassel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881672160
PECOS PAC ID: 8628193893
Enrollment ID: I20100910000581
Provider NameMikella Blake Maine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912255001
PECOS PAC ID: 2365691714
Enrollment ID: I20131023001269
Provider NameMelissa Anne Dye
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881092211
PECOS PAC ID: 2466764972
Enrollment ID: I20150710002058
Provider NameGary W Gilliam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154704708
PECOS PAC ID: 2365757879
Enrollment ID: I20150812008860
Provider NameCrystal D Ball
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053863688
PECOS PAC ID: 7719269851
Enrollment ID: I20170124002994
Provider NameSvetlana Grinberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396146486
PECOS PAC ID: 4284994252
Enrollment ID: I20190221001139
Provider NameSutton A Hess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548807068
PECOS PAC ID: 3375971724
Enrollment ID: I20200317002538
Provider NameAbagail G Farmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770166761
PECOS PAC ID: 6204228901
Enrollment ID: I20220107002259
Provider NameJenell D Joines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326504168
PECOS PAC ID: 1052705506
Enrollment ID: I20220225000873
Provider NameRachel Owens Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720559537
PECOS PAC ID: 6507249083
Enrollment ID: I20220816002118
Provider NameTaylor Nicole Salyers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437921657
PECOS PAC ID: 7113379553
Enrollment ID: I20240122001174
Provider NameJulie Meade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740066893
PECOS PAC ID: 8628413671
Enrollment ID: I20240229000563
Provider NameHannah Nicole Mcnew
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841072394
PECOS PAC ID: 4789123126
Enrollment ID: I20240828005187

Reviews and Comments


Clinic/Center in Dungannon, VA

Clinch River Health Services, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 17633 Veterans Memorial Hwy, Suite 101, Dungannon, VA 24245
Phone: 276-467-2201    Fax: 276-467-2673

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.