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Organization

CLINCH RIVER HEALTH SERVICES, INC.

Active
Parent organization
CLINCH RIVER HEALTH SERVICES, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLINCH RIVER HEALTH SERVICES, INC.
Authorized official
GARY W GILLIAM FNP (EXECUTIVE DIRECTOR)
(276) 467-2201
Entity
Organization

Contact information

Practice address
17633 VETERANS MEMORIAL HWY, DUNGANNON, VA 24245-3929
(276) 467-2201
(276) 467-2673
Mailing address
17633 VETERANS MEMORIAL HWY, DUNGANNON, VA 24245-3929
(276) 467-2201

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
05/20/2025
Last updated
07/24/2025
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