Clinch River Health Services Inc

A Medicare group practice based in Dungannon, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6709835002), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6709835002The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
VA
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
3In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050113000430 VA Part B Supplier - Clinic/Group Practice 1558653741
O20050310000468 VA Part A Provider - Federally Qualified Health Center (FQHC) 1558653741

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (11).

Sources for this page