| Clinch Professional Physician Services Llc | |
|
111 Fashion Rd Ste D Pounding Mill VA 24637-1200 | |
| (276) 596-6375 | |
| (276) 963-0920 |
| Full Name | Clinch Professional Physician Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Fashion Rd Ste D, Pounding Mill, Virginia |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinch Professional Physician Services Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Clinch Professional Physician Services Llc 111 Fashion Rd Ste D Pounding Mill VA 24637-1200 Ph: (276) 596-6375 |
| NPI Number | 1386329902 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 9436259223 |
|---|---|
| Medicare Enrollment ID | O20230721001729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386329902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ultra Health Pounding Mill Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13401 Governor G C Peery Hwy, Pounding Mill, VA 24637 Phone: 276-385-1183 |