# CLINCH VALLEY MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Preferred Home Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528330552
- **Authorized official:** MR. THOMAS M. WEISS (PRESIDENT)
- **Authorized official phone:** (615) 372-8510

## Contact information

- **Practice address:** 2011 2ND ST, RICHLANDS, VA 24641-2305
- **Practice address phone:** (276) 963-9577
- **Practice address fax:** (276) 963-4747
- **Mailing address:** 103 POWELL CT, BRENTWOOD, TN 37027-5079
- **Mailing address phone:** (615) 372-8500
- **Mailing address fax:** (615) 372-8581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 02/07/2012
- **Last updated:** 02/07/2012