Tri State Clinic, Inc. | |
1520 Slate Creek Rd Grundy VA 24614-6975 | |
(276) 935-8620 | |
(276) 935-4430 |
Full Name | Tri State Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 1520 Slate Creek Rd, Grundy, Virginia |
Authorized Official Name and Position | Janet Stacy (ADMINISTRATOR) |
Authorized Official Contact | 2769358620 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri State Clinic, Inc. 1520 Slate Creek Rd Grundy VA 24614-6975 Ph: (276) 935-8620 | Tri State Clinic, Inc. 1520 Slate Creek Rd Grundy VA 24614-6975 Ph: (276) 935-8620 |
NPI Number | 1124097795 |
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Provider Enumeration Date | 03/16/2006 |
Last Update Date | 03/09/2010 |
Medicare PECOS PAC ID | 6709850993 |
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Medicare Enrollment ID | O20080505000220 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124097795 | NPI | - | NPPES |
007610262 | Medicaid | VA | |
35000470 | Medicaid | KY | |
0034714000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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