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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034714000
—
WV
05
—
007610262
—
VA
05
—
35000470
—
KY
Enumeration date
03/16/2006
Last updated
03/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us