CLINCH RIVER HEALTH SERVICES
NPI 1558653741
Clinic/Center - Federally Qualified Health Center (FQHC) in Dungannon, VA

NPI Status: Active since May 06, 2011

Contact Information

17285 VETERANS MEMORIAL HWY
DUNGANNON, VA
ZIP 24245
Phone: (276) 467-2201
Fax: (276) 467-2673

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 49D0684301
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-22-2027

About CLINCH RIVER HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Clinch River Health Services, a primary care provider established in Dungannon, Virginia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1558653741 assigned on May 2011. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Clinch River Health Services. The authorized official of this NPI record is Gary Gilliam (Executive Director)

NPI
1558653741
Provider Legal Name
CLINCH RIVER HEALTH SERVICES INC
Other Organization Name
CLINCH RIVER HEALTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17285 VETERANS MEMORIAL HWY DUNGANNON, VA 24245
Location Phone
(276) 467-2201
Location Fax
(276) 467-2673
Mailing Address
PO BOX 4710 GLEN ALLEN, VA 23058
Mailing Phone
(804) 237-7690
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2011
Last Update Date
02-25-2022
Code Navigator

A primary care provider (PCP) like Clinch River Health Services 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
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

GARY GILLIAM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(276) 467-2201

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
49D0684301
Facility Type
Community Clinic
Certificate Effective Date
March 23, 2025
Certificate Expiration Date
March 22, 2027
Laboratory Director
TODD A. CASSEL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Clinch River Health Services in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558653741, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 2 + 5 + 6 + 7 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1558653741.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Counselor (Professional)
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Nurse Practitioner (Family)
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Nurse Practitioner (Psychiatric/Mental Health)
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Nurse Practitioner (Family)
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Nurse Practitioner (Family)
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Family Medicine
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Nurse Practitioner (Family)
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245
Nurse Practitioner
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 24245

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558653741, enumerated as an "organization" on May 06, 2011.

The provider is located at 17285 VETERANS MEMORIAL HWY DUNGANNON, VA 24245 and the phone number is (276) 467-2201.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).