Clinch Valley Nephrology,inc.
Internal Medicine, Nephrology in Richlands, VA. Organization (NPI-2).
NPI number1295914679
StatusActive
Last updated in NPPESNov 1, 2007
Details
- NPI
- 1295914679
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinch Valley Nephrology,inc.
- Organization subpart
- No
- Enumeration date
- Nov 1, 2007
- Last updated
- Nov 1, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 0101029175 | VA | Yes |
Practice location
2951 Front StClinch Valley Medical Plaza, Suite 1600
Richlands, VA 24641-2055
Phone 276-964-4001
Mailing address
2951 Front StClinch Valley Medical Plaza, Suite 1600
Richlands, VA 24641-2055
Phone 276-964-4001
Authorized official
In Young Park
C.E.O.
2769644001
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