OrganizationActive
Dickenson Medical Clinic PC
NPI 1033153879 · Primary Care Clinic/Center · Clintwood, VA
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
Detailed profile(91/100 index)
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
5607 Dickenson Hwy
Clintwood, VA 24228-7009
Phone: (276) 926-4601
Fax: (276) 926-4602
Street-level locationGet directions
Mailing address
Po Box 2224
Clintwood, VA 24228-2224
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 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.