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
- 6709835002
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- VA
- Enrollments
- 2
- Group size
- 11 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| 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 RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Clinch River Health Services Inc
dba Clinch River Health Services
- Federally Qualified Health Center (FQHC)
- Dungannon, VA
- NPI 1558653741
-
Clinch River Health Services, Inc.
- Federally Qualified Health Center (FQHC)
- Dungannon, VA
- NPI 1508845389
Practice locations
- Dungannon, VA3
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (11).
-
Crystal Ball, FNP-C
- Family Nurse Practitioner
- Dungannon, VA
- NPI 1053863688
-
Rachel Owens Burke, FNP
- Family Nurse Practitioner
- Dungannon, VA
- NPI 1720559537
-
Todd Cassel, MD
- Family Medicine Physician
- Dungannon, VA
- NPI 1881672160
-
Melissa Dye, LCSW
- Clinical Social Worker
- Abingdon, VA
- NPI 1881092211
-
Abagail Farmer
- Family Nurse Practitioner
- Church Hill, TN
- NPI 1770166761
-
Gary Wayne Gilliam, FNP
- Family Nurse Practitioner
- Dungannon, VA
- NPI 1154704708
-
Sutton Hess, FNP-C
- Family Nurse Practitioner
- Dungannon, VA
- NPI 1548807068
-
Mikella B Maine, FNP
- Family Nurse Practitioner
- Johnson City, TN
- NPI 1912255001
-
Hannah N McNew, LCSW
- Counselor
- Dungannon, VA
- NPI 1841072394
-
Julie Marie Meade, FNP
- Family Nurse Practitioner
- Dungannon, VA
- NPI 1740066893
-
Taylor Nicole Salyers
- Nurse Practitioner
- Dungannon, VA
- NPI 1437921657
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.