Three Rivers Clinic, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

THREE RIVERS CLINIC, LLC

Practice address

158 Hinton Byp
Hinton, WV 25951-9184

Phone

(304) 309-4143

Fax

(304) 309-4146

NPI assigned

Nov 25, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kimberley Dawn Huffman

Title

Office MGR / President

Phone

(304) 309-4143

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maggie King Clendenen, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Hinton, WV
  • NPI 1659840486
  Medicare reassignment NPD
• Kathy Meadows, APRN-BC

  • Family Nurse Practitioner
  • Hinton, WV
  • NPI 1295136588
  Medicare reassignment NPD
• Cassandra Kirkpatrick, MD

  • Emergency Medicine Physician
  • Bluefield, WV
  • NPI 1942221825
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1023612504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 HINTON BYP",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259519184",
            "telephone_number": "304-309-4143",
            "fax_number": "304-309-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 HINTON BYP",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259519184",
            "telephone_number": "304-309-4143",
            "fax_number": "304-309-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MGR / PRESIDENT",
        "authorized_official_telephone_number": "304-309-4143",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Lynn Tate
• Stephanie Nichole Teabo
• Lynda F Terry, PA-C
• Sonya Terry
• Danielle Kay Thompson
• Jenna M. Tilley-Clements, DPT
• Willie Lee Trent
• Barbara J Trivett
• Veronica Unger
• Melinda Jo Vandall

• Health Service Clinic/Center in Hinton, WV
• Providers in Hinton, WV by specialty
• Health Service Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.