| Tri State Clinic, Inc. | |
|
1520 Slate Creek Rd Grundy VA 24614-6975 | |
| (276) 935-8620 | |
| (276) 935-4430 |
| Full Name | Tri State Clinic, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 03/09/2010 |
| Medicare PECOS PAC ID | 6709850993 |
|---|---|
| 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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