TRISTATE RURAL HEALTH CLINIC (NPI# 1568622868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568622868 |
| Entity Type | Organization |
| Organization Name | TRISTATE RURAL HEALTH CLINIC |
| Practice Address |
20757 Riverside Dr Grundy VA 24614-6746 |
| Practice Telephone | 2769356424 |
| Practice Fax Number | 2769352494 |
| Mailing Telephone | 2769356055 |
| Mailing Fax Number | 2769354430 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | MRS. JANET STACY (OFFICE MANAGER) |
| Authorized Official Telephone | 2769356044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 0101031664 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006091750 | 05 |
| Street Address |
20757 RIVERSIDE DR |
| City | GRUNDY |
| State | VA |
| Zip Code | 24614-6746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962425 | Leah Jessee | Nurse Practitioner | 1107 Riverview Street, Grundy, VA 24614 | 2018-11-27 |
| 1467989137 | Amanda Fletcher | Nurse Practitioner | 1298 Lick Log Road, Grundy, VA 24614 | 2017-05-12 |
| 1578800967 | Coetta Lynn Neece | Nurse Practitioner | 18334 Riverside Drive, Grundy, VA 24614 | 2013-01-07 |
| 1376894840 | Tina Michele Williams | Nurse Practitioner | 1520 Slate Creek Rd Suite 205, Grundy, VIRGINIA 24614 | 2012-09-25 |
| 1881980647 | Ngd Incorporated | Pharmacy | 1063 Edgewater Dr., Grundy, VA 24614 | 2011-06-21 |
| 1710291216 | Pamela D Harrison | Nurse Practitioner | 28567 Riverside Drive, Grundy, VA 24614 | 2010-07-27 |
| 1477889111 | Susan Buskill Fogg | Counselor | 19873 Riverside Drive, Grundy, VA 24614 | 2009-10-31 |
| 1336396043 | Maranda Gayle Fletcher-meadows | Speech-Language Pathologist | 5820 Slate Creek Road, Grundy, VA 24614 | 2008-08-25 |
| 1528282241 | Joshua P Sutherland Jr PC | Family Medicine | 20886 Riverside Drive, Grundy, VA 24614 | 2007-04-12 |
| 1043339989 | Grundy Internal Medicine, PC | Internal Medicine | 1532 Slate Creek Road, Ste 203, Grundy, VA 24614 | 2007-03-29 |
| Find all providers in zip 24614 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740628007 | Surgical Care of The Virginias, LLC | Legal Medicine | Unit 101 Westwood Commons, Westwood Medical Park, Bluefield, VA 24605-0237 | 2013-06-10 |
| 1194068577 | Kraidy & Alkaffaf, LLC | Legal Medicine | 9025 Kiger Street, Lorton, VA 22079 | 2013-04-03 |
| 1366770547 | Philip R Thomas Md., Ltd | Legal Medicine | 112 Kings Hwy, Suffolk, VA 23432-1117 | 2009-11-25 |
| 1871784496 | Urgent Care Hayfield | Legal Medicine | 7598 Telegraph Rd, Alexandria, VA 22315-3829 | 2007-08-08 |
| 1629269139 | L. Glenn Christie Md Ltd | Legal Medicine | 7605 Forest Ave Ste 402, Richmond, VA 23229-4939 | 2007-08-08 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1922135193 | Emergicare of Harrisonburg, Inc. | Legal Medicine | 755a Cantrell Ave, Harrisonburg, VA 22801-4366 | 2007-02-27 |
| 1114091931 | Union Mill Pediatrics,pc | Legal Medicine | 13880 Braddock Rd. Ste 201, Centreville, VA 20121 | 2006-11-20 |
| 1578637997 | Lawrence Amos | Legal Medicine | 103 Free Bridge Ln, Charlottesville, VA 22911-8446 | 2006-11-17 |
| 1386737682 | Dominion Health Medical Assoc. | Legal Medicine | 15210 L. P. Bailey Memorial Hwy, South Boston, VA 24592 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.