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TRI STATE RURAL HEALTH CLINIC
NPI 1124097795
Clinic/Center - Rural Health in Grundy, VA

Active since March 16, 2006
1520 SLATE CREEK RD, GRUNDY, VA 24614(276) 935-8620(276) 935-4430 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tri State Rural Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI STATE RURAL HEALTH CLINIC (NPI 1124097795) is a healthcare organization registered as a rural health in Grundy, Virginia and active in the NPI registry since March 2006. The organization lists Janet Stacy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124097795
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTRI STATE CLINIC, INC.
Location Address1520 SLATE CREEK RDGrundy, VA 24614-6975
Mailing Address1520 Slate Creek RdGrundy, VA 24614-6975 · (276) 935-8620 · Fax (276) 935-4430
Phone(276) 935-8620
Fax(276) 935-4430
Organization SubpartNo
Authorized OfficialJanet StacyAdministrator · (276) 935-8620
Enumeration DateMarch 16, 2006
Last NPPES UpdateMarch 9, 2010
✔ NPI 1124097795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1520 SLATE CREEK RD, Grundy, VA 24614
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Other Names 1

Doing Business AsTri State Rural Health Clinic

Other Identifiers 4

Medicaid0034714000WV
Medicaid007610262VA
Medicare ID-Type Unspecified493829VA
Medicaid35000470KY

Other Providers at the Same Location NPPES 12

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

DR. DINKAR N PATEL M.D.
Internal Medicine
1520 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-2148
DR. RAJNIKANT R PATEL M.D.
Pediatrics
1520 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-6444
DR. JASHBHAI N PATEL M.D.
Surgery
1520 SLATE CREEK RD, SUITE 101
GRUNDY, VA 24614
Buchanan County (276) 935-6476
TRISHIA GAIL HAGERMAN-PAYNE PA
Physician Assistant (Medical)
1520 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-6444
BUCHANAN PHARMACY ASSOCIATES
Pharmacy (Community/Retail Pharmacy)
1520 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-2323
TRI STATE CLINIC, INC.
Internal Medicine
1520 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-6055
DR. HARESH J PATEL M.D.
Internal Medicine
1520 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-2148
DR. JASHUBHAI G PATEL MD
Internal Medicine
1520 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-2678

Frequently 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 Tri State Clinic, Inc.'s NPI number?

The NPI number for Tri State Clinic, Inc. is 1124097795. It was assigned to this organization in the NPPES registry on March 16, 2006. The provider is doing business as Tri State Rural Health Clinic.

Where is Tri State Clinic, Inc. located?

Tri State Clinic, Inc. is located at 1520 Slate Creek Rd, Grundy, VA 24614. The listed phone number is (276) 935-8620.

What is Tri State Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Tri State Clinic, Inc. was last updated on March 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.