# CLINCH RIVER HOME HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346705704
- **Authorized official:** CHAD SHUMWAY (CHIE EXECUTIVE OFFICER)
- **Authorized official phone:** (801) 669-4260

## Contact information

- **Practice address:** 111 EXECUTIVE PARK DRIVE, CLINTON, TN 37716-2222
- **Practice address phone:** (865) 457-4263
- **Mailing address:** 614 E MAIN ST, RIVERTON, WY 82501-4459
- **Mailing address phone:** (307) 856-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2019
- **Last updated:** 06/26/2023