TRI STATE RURAL HEALTH CLINIC
NPI 1518083971
Internal Medicine in Grundy, VA
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 1518083971) is a healthcare organization registered as an internal medicine in Grundy, Virginia and active in the NPI registry since March 2007. The organization lists Janet Stacy, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri State Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Tri State Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1518083971. It was assigned to this organization in the NPPES registry on March 21, 2007. 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) 935-6055.
What is Tri State Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tri State Clinic, Inc. enrolled in Medicare?
Yes. Tri State Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri State Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Tri State 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 Internal Medicine (3) and Nurse Practitioner (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tri State Clinic, Inc. was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Tri State Rural Health Clinic · NPI 1518083971
Internal Medicine organization in Grundy, Virginia. Organization record, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1518083971 (Entity type: Organization)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Tri State Clinic, Inc.
- **Organization subpart:** No
- **Authorized official:** Janet Stacy, MANAGER
## Practice location
- **Address:** 1520 SLATE CREEK RD, Grundy, VA 24614-6975
- **Phone:** (276) 935-6055 · **Fax:** (276) 935-4430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2015
- **Other identifiers:** Medicare PIN C08037 (VA); Medicare PIN C06780 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1518083971) · Data from the CMS NPPES public registry.