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Organization
TRI STATE CLINIC, INC.
Active
Organization
TRI STATE CLINIC, INC.
Active
Other names
Tri State Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET STACY (ADMINISTRATOR)
(276) 935-8620
Entity
Organization
Contact information
Practice address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 935-8620
(276) 935-4430
Mailing address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 935-8620
(276) 935-4430
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/16/2006
Last updated
03/09/2010
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