Tri State Rural Health Clinic

LBN: Tri State Clinic, Inc.
Tri State Rural Health Clinic is an health care organization with primary practice located at 1520 Slate Creek Rd , Grundy VA 24614-6975. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Tri State Clinic, Inc. can be contacted via phone (276) 935-6055, or through Stacy, Janet via phone (276) 935-6055.

Contact Information

Primary practice address
1520 Slate Creek Rd Grundy VA 24614-6975
Phone: (276) 935-6055
Fax: (276) 935-4430
Website:
Map and Directions
Authorized official contact:
Name: Stacy, Janet
Phone: (276) 935-6055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004247 Virginia

Profile Details

NPI number 1518083971
LBN Legal business name Tri State Clinic, Inc.
DBA Doing business as Tri State Rural Health Clinic
Authorized official Stacy, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Jan 9th, 2015 - about 11 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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