Dickenson Medical Clinic PC
NPI 1033153879 · Primary Care Clinic/Center · Clintwood, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dickenson Medical Clinic PC is a Primary Care Clinic/Center organization in Clintwood, VA (NPI 1033153879).
Provider details
- NPI number
- 1033153879
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rimon Ibrahim, President(276) 926-4601
- License
- 0101051077 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2010-03-31
Frequently asked questions
- What is Dickenson Medical Clinic PC's NPI number?
- Dickenson Medical Clinic PC's National Provider Identifier (NPI) is 1033153879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dickenson Medical Clinic PC?
- Dickenson Medical Clinic PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dickenson Medical Clinic PC located?
- Dickenson Medical Clinic PC's practice location on file with NPPES is 5607 Dickenson Hwy, Clintwood, VA 24228-7009.
- What is Dickenson Medical Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Dickenson Medical Clinic PC is (276) 926-4601.
- Does Dickenson Medical Clinic PC accept Medicare?
- Dickenson Medical Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dickenson Medical Clinic PC?
- The authorized official listed on Dickenson Medical Clinic PC's NPPES record is Rimon Ibrahim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dickenson Medical Clinic PC's NPI active?
- Yes — Dickenson Medical Clinic PC's NPI (1033153879) is active in the NPPES registry as of the last update on 2010-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.