BLAND COUNTY MEDICAL CLINIC, INC.
NPI 1104800671
Clinic/Center - Federally Qualified Health Center (FQHC) in Bastian, VA
About Bland County Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAND COUNTY MEDICAL CLINIC, INC. (NPI 1104800671) is a healthcare organization registered as a federally qualified health center (fqhc) in Bastian, Virginia and active in the NPI registry since November 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2028, maintains a secondary practice location in Bland, and lists Susan Greever, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bland County Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Bland County Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 18 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0232392
Bland County Medical Clinic, Inc · Bastian, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bland County Medical Clinic, Inc.'s NPI number?
The NPI number for Bland County Medical Clinic, Inc. is 1104800671. It was assigned to this organization in the NPPES registry on November 30, 2005.
Where is Bland County Medical Clinic, Inc. located?
Bland County Medical Clinic, Inc. is located at 12301 Grapefield Rd, Bastian, VA 24314. The listed phone number is (276) 688-4331.
What is Bland County Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Bland County Medical Clinic, Inc. enrolled in Medicare?
Yes. Bland County Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bland County Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 6 Medicare specialties reassign their Medicare billing to Bland County Medical Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (17), Dentist (2) and Family Practice (2). Of these, 18 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bland County Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0232392) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bland County Medical Clinic, Inc. accept?
Health plans from CareSource, DentaQuest, Highmark Blue Cross Blue Shield West Virginia and UnitedHealthcare list Bland County Medical Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bland County Medical Clinic, Inc. was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bland County Medical Clinic, Inc. · NPI 1104800671
Federally Qualified Health Center (FQHC) organization in Bastian, Virginia. Organization record, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1104800671 (Entity type: Organization)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Susan Greever, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 12301 GRAPEFIELD RD, Bastian, VA 24314-4547
- **Phone:** (276) 688-4331 · **Fax:** (276) 688-4336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Dentist (2), Family Practice (2); 18 practice at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1104800671/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2024
- **Other identifiers:** Medicaid 007696167 (VA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1104800671) · Data from the CMS NPPES public registry.