Clinch Valley Nephrology INC
Internal Medicine, Nephrology in Richlands, VA. Organization (NPI-2).
NPI number1154473296
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154473296
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinch Valley Nephrology INC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Other names
- Richlands Express Dialysis Center (Doing Business As)
Practice location
2951 W Front StreetCvmp Suite B800
Richlands, VA 24641
Phone 276-964-4001 · Fax 276-964-4003
Mailing address
2951 W Front StreetCvmp Suite 1600
Richlands, VA 24641
Phone 276-964-4001 · Fax 276-964-4003
Authorized official
In Young Park
Ceo
2769644001
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