Dickenson Medical Associates a Department of Dickenson Community Hospi
Dickenson Medical Associates a Department of Dickenson Community Hospi provides Family Medicine Physician services in Clintwood, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
364 Hospital DrClintwood, VA 24228-6786
Phone: (276) 926-0200
Fax: (276) 926-6675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 0101240240 (VA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 0101016773 (VA) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 0102201380 (VA) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 0017001384 (VA) |
Record details
| NPI number | 1871517151 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Dickenson Community Hospital, Inc |
| Authorized official | Mary Krutak — Evp/Cfo · (423) 302-3423 |
| Other names | Bhrhc Dickenson |
| NPI enumerated | July 27, 2006 |
| Last updated in NPPES | August 12, 2024 |
| Certification date | August 12, 2024 |
| Mailing address | 509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579 |
Other providers in Clintwood
-
Dr. Lurton B Lyle, MD
364 Hospital Dr, Clintwood, VA 24228 · (276) 926-0200
-
Mrs. Taylor Rae Rowe, NP-C
5607 Dickenson Hwy, Clintwood, VA 24228-7009 · (276) 926-4601