Organization Active NPI

Galen-Med, Inc.

Doing business as Clinch Valley Medical Center

  • General Acute Care Hospital
  • Richlands, VA
National Provider Identifier
1194762278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GALEN-MED, INC.
Doing business as
Clinch Valley Medical Center
Practice address
2949 West Front St
Richlands, VA 24641-2099
Phone
(276) 596-6000
Fax
(276) 596-6009
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bob Haralson
Title
Cfo
Phone
(276) 596-6672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2949 West Front St
Richlands, VA 24641-2099

Mailing address

2949 West Front St
Richlands, VA 24641-2099
Phone (276) 596-6000

Other identifiers 1

IdentifierTypeStateIssuer
756OtherVAWELLPOINT VA/BLUE CROSS

Other names 1

  • CLINCH VALLEY MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Humana Hospital New Orl7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194762278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 WEST FRONT ST",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412099",
            "telephone_number": "276-596-6000",
            "fax_number": "276-596-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 WEST FRONT ST",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412099",
            "telephone_number": "276-596-6000",
            "fax_number": "276-596-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALEN-MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARALSON",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "276-596-6672"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPOINT VA/BLUE CROSS",
            "identifier": "756",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINCH VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.