# 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:** 1760481147
- **Authorized official:** MR. JEFFREY G. SERAPHINE (PRESIDENT)
- **Authorized official phone:** (615) 920-7000

## 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:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
- **Mailing address phone:** (615) 920-7000
- **Mailing address fax:** (615) 920-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 02/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008704279 | — | VA |
| 05 | — | 010014492 | — | VA |
| 05 | — | 010132274 | — | VA |
| 05 | — | 4974999 | — | VA |
| 05 | — | 8750572 | — | VA |