Healthcare Provider Details

I. General information

NPI: 1669454781
Provider Name (Legal Business Name): CLINCH VALLEY PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CLINIC DR CLAYPOOL HILL
RICHLANDS VA
24641-1102
US

IV. Provider business mailing address

PO BOX CVPI
RICHLANDS VA
24641-1100
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 Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateVA

VIII. Authorized Official

Name: DR. WILLIAM CRAWFORD HUNTER
Title or Position: PRESIDENT
Credential: MD
Phone: 276-964-6771