Healthcare Provider Details

I. General information

NPI: 1134066269
Provider Name (Legal Business Name): CLEMONT BENEFITS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 ALBEMARLE AVE SE
ROANOKE VA
24013
US

IV. Provider business mailing address

4727 VALLEY VIEW BLVD NW
ROANOKE VA
24012-2000
US

V. Phone/Fax

Practice location:
  • Phone: 540-309-0756
  • Fax:
Mailing address:
  • Phone: 540-309-0756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RYAN CLEMONT
Title or Position: OWNER/CEO
Credential:
Phone: 540-309-0756