Active NPI
Clinch Valley Pulmonology LLC
- Pulmonary Disease Physician
- Richlands, VA
National Provider Identifier
1306835673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- CLINCH VALLEY PULMONOLOGY LLC
- Practice address
- 2951 West Front Street
Suite 1000
Richlands, VA 24641 - Phone
- (276) 964-6966
- Fax
- (276) 963-3690
- NPI assigned
- Oct 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Merritt
- Title
- Director
- Phone
- (276) 964-6966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
2951 West Front Street
Suite 1000
Richlands, VA 24641
Mailing address
2951 West Front Street
Suite 1000
Richlands, VA 24641
Phone (276) 964-6966
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210133000 | Medicaid | WV | |
| 1306835673 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
2951 W FRNT St Ste 1000
Ste 1000
Richlands, VA 24641
Phone (276) 596-6655
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chesapeake, VA
- NPI 1750347456
-
- Internal Medicine Physician
- Richlands, VA
- NPI 1558452482
-
- Pulmonary Disease Physician
- Chandler, AZ
- NPI 1396731493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188259200000",
"number": "1306835673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 WEST FRONT STREET",
"address_2": "SUITE 1000",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "24641",
"telephone_number": "276-964-6966",
"fax_number": "276-963-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 WEST FRONT STREET",
"address_2": "SUITE 1000",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "24641",
"telephone_number": "276-964-6966",
"fax_number": "276-963-3690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINCH VALLEY PULMONOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-19",
"last_updated": "2007-08-28",
"status": "A",
"authorized_official_last_name": "MERRITT",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "276-964-6966"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0210133000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306835673",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richlands, VA
- Clinch Valley Physicians Associates LLC
- Clinch Valley Physicians Associates LLC
- Clinch Valley Physicians Inc
- Clinch Valley Physicians Inc
- Clinch Valley Physicians Inc
- Clinch Valley Surgical Associates PC
- Clinch Valley Urology, LLC
- Clinch Valley Vascular Surgery Associates
- Clinch Valley Vascular Surgical Assoc., PLLC
- April Colley, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.