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
—
—
251E00000X
Home Health Agency
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
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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