Clinch River Health Services Inc
NPI 1558653741 · Federally Qualified Health Center (FQHC) · Dungannon, VA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clinch River Health Services Inc is a Federally Qualified Health Center (FQHC) organization in Dungannon, VA (NPI 1558653741).
Provider details
- NPI number
- 1558653741
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Gilliam, Executive Director(276) 467-2201
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
15 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
Other names (DBA / former)
- Doing business as
- Clinch River Health Services
- Doing business as
- Clinch River Health Services
Registry dates
- Enumerated
- 2011-05-06
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Frequently asked questions
- What is Clinch River Health Services Inc's NPI number?
- Clinch River Health Services Inc's National Provider Identifier (NPI) is 1558653741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinch River Health Services Inc?
- Clinch River Health Services Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Clinch River Health Services Inc located?
- Clinch River Health Services Inc's practice location on file with NPPES is 17285 Veterans Memorial Hwy, Dungannon, VA 24245.
- What is Clinch River Health Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Clinch River Health Services Inc is (276) 467-2201.
- Does Clinch River Health Services Inc accept Medicare?
- Clinch River Health Services Inc 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 Clinch River Health Services Inc?
- The authorized official listed on Clinch River Health Services Inc's NPPES record is Gary Gilliam, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinch River Health Services Inc's NPI active?
- Yes — Clinch River Health Services Inc's NPI (1558653741) is active in the NPPES registry as of the last update on 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.