CLINCH VALLEY URGENT CARE
NPI 1386329902
Clinic/Center - Rural Health in Pounding Mill, VA

Active since June 20, 2023CLIA 49D2108920 · Waiver
111 FASHION RD STE D, POUNDING MILL, VA 24637(276) 596-6375(276) 963-0920 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 24, 2024, Jun 22, 2023 (2 updates tracked since 2023).

  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 49D2108920
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-15-2028

About CLINCH VALLEY URGENT CARE

This page provides the complete NPI Profile along with additional information for Clinch Valley Urgent Care, a primary care provider established in Pounding Mill, Virginia operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1386329902 assigned on June 2023. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Clinch Valley Urgent Care. The authorized official of this NPI record is Charlotte Lawrence (Secretary)

NPI
1386329902 Verify this NPI
Provider Legal Name
CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
Other Organization Name
CLINCH VALLEY URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
111 FASHION RD STE D POUNDING MILL, VA 24637
Location Phone
(276) 596-6375
Location Fax
(276) 963-0920
Mailing Address
330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
Mailing Phone
(615) 920-7000
Mailing Fax
(615) 920-8775
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2023
Last Update Date
09-24-2024
Code Navigator

A primary care provider (PCP) like Clinch Valley Urgent Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLOTTE LAWRENCE

Authorized Official Title
SECRETARY
Authorized Official Phone
(615) 920-7000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2108920
Facility Type
Physician Office
Certificate Effective Date
February 16, 2026
Certificate Expiration Date
February 15, 2028
Laboratory Director
KENNETH A. MCVEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clinch Valley Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CLINCH VALLEY URGENT CARE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinical Nurse Specialist (Family Health)
111 FASHION RD STE D
POUNDING MILL, VA 24637
Nurse Practitioner (Family)
111 FASHION RD STE D
POUNDING MILL, VA 24637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386329902, enumerated as an "organization" on June 20, 2023.

The provider is located at 111 FASHION RD STE D POUNDING MILL, VA 24637 and the phone number is (276) 596-6375.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.