BLAND COUNTY MEDICAL CLINIC, INC.
NPI 1104800671
Clinic/Center - Federally Qualified Health Center (FQHC) in Bastian, VA

Q: 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.

Q: 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.

Active since November 30, 2005CLIA 49D0232392 · Microscopy

12301 GRAPEFIELD RD, BASTIAN, VA 24314(276) 688-4331(276) 688-4336 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Apr 7, 2020 (2 updates tracked since 2020).

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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, 2026, maintains a secondary practice location in Bland, and lists Susan Greever, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104800671

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBLAND COUNTY MEDICAL CLINIC, INC.

Location Address12301 GRAPEFIELD RDBastian, VA 24314-4547

Mailing Address12301 Grapefield RdBastian, VA 24314-4547 · (276) 688-4331 · Fax (276) 688-4336

Phone(276) 688-4331

Fax(276) 688-4336

Organization SubpartNo

Authorized OfficialSusan GreeverExecutive Director · (276) 688-4331

Enumeration DateNovember 30, 2005

Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1104800671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

12301 GRAPEFIELD RD, Bastian, VA 24314

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Secondary Practice Location 1

Location 18487 S Scenic HwyBland, VA 24315-4691 · Phone (276) 688-4711 · Fax (276) 688-4712

Other Identifiers 1

Medicaid007696167VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, UnitedHealthcare.Insurance ›

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, VA

Active · expires Aug 31, 2026

CLIA Number49D0232392

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJohn T. Turski III

Laboratory Phone(276) 688-4331

Laboratory LocationBland County Medical Clinic, Inc12301 Grapefield Road, Bastian, VA 24314

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHYANN REYNOLDS NP

Family Medicine