| Tri State Clinic, Inc. | |
|
1520 Slate Creek Rd Grundy VA 24614-6975 | |
| (276) 935-6055 | |
| (276) 935-4430 |
| Full Name | Tri State Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1520 Slate Creek Rd, Grundy, Virginia |
| Authorized Official Name and Position | Janet Stacy (MANAGER) |
| Authorized Official Contact | 2769356055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Clinic, Inc. 1520 Slate Creek Rd Grundy VA 24614-6975 Ph: (276) 935-6055 | Tri State Clinic, Inc. 1520 Slate Creek Rd Grundy VA 24614-6975 Ph: (276) 935-6055 |
| NPI Number | 1518083971 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 01/09/2015 |
| Medicare PECOS PAC ID | 6709850993 |
|---|---|
| Medicare Enrollment ID | O20050223000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518083971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0110004247 (Virginia) | Secondary |
| Provider Name | Jashubhai G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922049212 PECOS PAC ID: 5294723821 Enrollment ID: I20040503001657 |
| Provider Name | Haresh J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245209402 PECOS PAC ID: 1759360522 Enrollment ID: I20040715000699 |
| Provider Name | Dinkar Nathabhia Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831168004 PECOS PAC ID: 8820041403 Enrollment ID: I20050223000496 |
| Provider Name | Craig Dwayne Viers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316769631 PECOS PAC ID: 2062941651 Enrollment ID: I20250128001363 |
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Family Care Center Of Buchanan County, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1109 Plaza Dr Ste 1, East Grundy Plaza, Grundy, VA 24614 Phone: 276-935-2677 Fax: 276-935-5775 | |
Tri State Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1520 Slate Creek Rd, Grundy, VA 24614 Phone: 276-935-8620 Fax: 276-935-4430 | |
Buchanan Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rt 5, Bgh Prof Bldg Suite 101, Grundy, VA 24614 Phone: 276-935-2080 Fax: 276-935-2082 | |
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