Clinch River Home Healthcare, Inc.

Organization Active NPI Home Health Agency · Clinton, TN

NPI 1346705704 · NPPES record last updated Jun 26, 2023

Key facts

NPI
1346705704
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
CLINCH RIVER HOME HEALTHCARE, INC.
Practice address
111 Executive Park Drive
Clinton, TN 37716-2222
Phone
(865) 457-4263
NPI assigned
Feb 9, 2019
Organization subpart
No

Authorized official

Name
Chad Shumway
Title
Chie Executive Officer
Phone
(801) 669-4260

National Provider Directory

Locations

111 Executive Park Dr
Clinton, TN 37716
Phone (307) 856-2600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

111 Executive Park Drive
Clinton, TN 37716-2222

Mailing address

614 E Main St
Riverton, WY 82501-4459
Phone (307) 856-2600

Other identifiers

IdentifierTypeStateIssuer
NAOtherNA

Other providers in Clinton, TN

All providers in Clinton, TN · Home Health Agency in Tennessee

Sources for this page

Verify at the official NPI Registry.