OrganizationActive
Dickenson Medical Associates a Department of Dickenson Community Hospi
NPI 1871517151 · Rural Health Clinic/Center · Clintwood, VA
Provider details
- NPI number
- 1871517151
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Dickenson Community Hospital, Inc
- Organization subpart
- Yes
- Authorized official
- Mary Krutak, Evp/Cfo(423) 302-3423
- License
- 0101240240 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
364 Hospital Dr
Clintwood, VA 24228-6786
Phone: (276) 926-0200
Fax: (276) 926-6675
Approximate (ZIP-level) locationGet directions
Mailing address
509 Med Tech Pkwy Ste 100
Johnson City, TN 37604-2579
Other names (DBA / former)
- Doing business as
- Bhrhc Dickenson
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2024-08-12
- Certified
- 2024-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.