OrganizationActive
Tri State Clinic, Inc.
NPI 1124097795 · Rural Health Clinic/Center · Grundy, VA
Provider details
- NPI number
- 1124097795
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janet Stacy, Administrator(276) 935-8620
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
1520 Slate Creek Rd
Grundy, VA 24614-6975
Phone: (276) 935-8620
Fax: (276) 935-4430
Approximate (ZIP-level) locationGet directions
Mailing address
1520 Slate Creek Rd
Grundy, VA 24614-6975
Other names (DBA / former)
- Doing business as
- Tri State Rural Health Clinic
Registry dates
- Enumerated
- 2006-03-16
- Last updated
- 2010-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.