Healthcare Provider Details

I. General information

NPI: 1821339540
Provider Name (Legal Business Name): CLINCH VALLEY PHYSICIANS ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2013
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 CLINIC RD
CEDAR BLUFF VA
24609-9413
US

IV. Provider business mailing address

1 CLINIC DR CLAYPOOL HILL
RICHLANDS VA
24641-1102
US

V. Phone/Fax

Practice location:
  • Phone: 276-964-6771
  • Fax: 276-964-1314
Mailing address:
  • Phone: 276-964-6771
  • Fax: 276-964-1314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE LAWRENCE
Title or Position: SECRETARY
Credential:
Phone: 615-920-7000