Organization Active NPI

Clinch Valley Medical Center Inc

  • Rehabilitation Hospital Unit
  • Richlands, VA
National Provider Identifier
1902849201
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CLINCH VALLEY MEDICAL CENTER INC
Practice address
6801 Governor GC Peery Hwy
Richlands, VA 24641-2194
Phone
(276) 596-6000
Fax
(276) 596-6009
NPI assigned
Jun 14, 2006
Organization subpart
Yes
Parent organization
CLINCH VALLEY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Victor E. Giovanetti
Title
President
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

6801 Governor GC Peery Hwy
Richlands, VA 24641-2194

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536
Phone (615) 920-7000

Other identifiers 1

IdentifierTypeStateIssuer
004930606MedicaidVA

Other names 1

  • Clinch Valley Medical Center - Rehab Unit Doing business as

National Provider Directory

National Provider Directory
Part of
Mary E Zelenak MD

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1902849201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 GOVERNOR GC PEERY HWY",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412194",
            "telephone_number": "276-596-6000",
            "fax_number": "276-596-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCH VALLEY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINCH VALLEY MEDICAL CENTER INC",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "GIOVANETTI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004930606",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinch Valley Medical Center - Rehab Unit",
            "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 Mar 15, 2017; 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.