Dickenson Medical Clinic Pc

LBN: Dickenson Medical Clinic Pc
Dickenson Medical Clinic Pc is an health care organization with primary practice located at 5607 Dickenson Hwy , Clintwood VA 24228-7009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dickenson Medical Clinic Pc can be contacted via phone (276) 926-4601, or through Ibrahim, Rimon via phone (276) 926-4601.

Contact Information

Primary practice address
5607 Dickenson Hwy Clintwood VA 24228-7009
Phone: (276) 926-4601
Fax: (276) 926-4602
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, Rimon Doctor of Medicine (MD)
Phone: (276) 926-4601

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0101051077 Virginia

Profile Details

NPI number 1033153879
LBN Legal business name Dickenson Medical Clinic Pc
DBA Doing business as
Authorized official Ibrahim, Rimon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 31st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033153879 NPPES
Virginia MEDICAID 010264995

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