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CLINCH RIVER HEALTH SERVICES, INC.
NPI 1508845389
Clinic/Center - Federally Qualified Health Center (FQHC) in Dungannon, VA

Active since January 11, 2006CLIA 49D0684301 · Microscopy
17633 VETERANS MEMORIAL HWY, SUITE 101, DUNGANNON, VA 24245(276) 467-2201(276) 467-2673 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clinch River Health Services, Inc. NPPES

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

CLINCH RIVER HEALTH SERVICES, INC. (NPI 1508845389) is a healthcare organization registered as a federally qualified health center (fqhc) in Dungannon, Virginia and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through March 22, 2027 and lists Gary Gilliam, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508845389
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCLINCH RIVER HEALTH SERVICES, INC.
Location Address17633 VETERANS MEMORIAL HWY, SUITE 101Dungannon, VA 24245
Mailing Address17633 Veterans Memorial Hwy, Suite 101Dungannon, VA 24245 · (276) 467-2201 · Fax (276) 467-2673
Phone(276) 467-2201
Fax(276) 467-2673
Organization SubpartNo
Authorized OfficialGary GilliamAdministrator · (276) 467-2201
Enumeration DateJanuary 11, 2006
Last NPPES UpdateFebruary 25, 2022
NPPES CertifiedFebruary 25, 2022
✔ NPI 1508845389 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
17633 VETERANS MEMORIAL HWY, Dungannon, VA 24245
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Other Identifiers 1

Medicaid007639431VA

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) 49D0684301

Clinch River Health Services Inc · Dungannon, VA
Active · expires Mar 22, 2027
CLIA Number49D0684301
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorTodd A. Cassel
Laboratory Phone(276) 467-2201
Laboratory LocationClinch River Health Services Inc17285 Veterans Memorial Highway, Dungannon, VA 24245
CLIA data matches this NPI record on: 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 2

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

CLINCH RIVER HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
17633 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Scott County (276) 467-2201
ROBERT DOCKERY PHARMD
Pharmacist
17633 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Scott County (276) 467-2469

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 Clinch River Health Services, Inc.'s NPI number?

The NPI number for Clinch River Health Services, Inc. is 1508845389. It was assigned to this organization in the NPPES registry on January 11, 2006.

Where is Clinch River Health Services, Inc. located?

Clinch River Health Services, Inc. is located at 17633 Veterans Memorial Hwy Suite 101, Dungannon, VA 24245. The listed phone number is (276) 467-2201.

What is Clinch River Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Clinch River Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0684301) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinch River Health Services, Inc. was last updated on February 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.