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Organization
CLINCH VALLEY MEDICAL CENTER INC
Active
Organization
CLINCH VALLEY MEDICAL CENTER INC
Active
Other names
Preferred Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY G. SERAPHINE (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
2011 2ND ST, RICHLANDS, VA 24641-2305
(276) 963-9577
(276) 963-4747
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
251E00000X
Home Health Agency
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008704279
—
VA
05
—
010014492
—
VA
05
—
010132274
—
VA
05
—
4974999
—
VA
05
—
8750572
—
VA
Enumeration date
07/19/2005
Last updated
02/05/2014
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