OrganizationActive
Clinch River Health Services, Inc.
NPI 1508845389 · Federally Qualified Health Center (FQHC) · Dungannon, VA
Provider details
- NPI number
- 1508845389
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Gilliam, Administrator(276) 467-2201
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
17633 Veterans Memorial Hwy
Suite 101
Dungannon, VA 24245
Phone: (276) 467-2201
Fax: (276) 467-2673
Approximate (ZIP-level) locationGet directions
Mailing address
17633 Veterans Memorial Hwy
Dungannon, VA 24245
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.