CLINCH RIVER HEALTH SERVICES
NPI 1558653741
Clinic/Center - Federally Qualified Health Center (FQHC) in Dungannon, VA
About Clinch River Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINCH RIVER HEALTH SERVICES (NPI 1558653741) is a healthcare organization registered as a federally qualified health center (fqhc) in Dungannon, Virginia and active in the NPI registry since May 2011. The organization lists Gary Gilliam, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Clinch River Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Clinch River Health Services, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Dungannon, VA 24245
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 Clinch River Health Services Inc's NPI number?
The NPI number for Clinch River Health Services Inc is 1558653741. It was assigned to this organization in the NPPES registry on May 6, 2011. The provider is doing business as Clinch River Health Services.
Where is Clinch River Health Services Inc located?
Clinch River Health Services Inc is located at 17285 Veterans Memorial Hwy, 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.
Is Clinch River Health Services Inc enrolled in Medicare?
Yes. Clinch River Health Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinch River Health Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Clinch River Health Services 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 Nurse Practitioner (8), Clinical Social Worker (2) and Family Practice (1). Of these, 7 practice at this address and 8 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 Clinch River Health Services Inc was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Clinch River Health Services · NPI 1558653741
Federally Qualified Health Center (FQHC) organization in Dungannon, Virginia. Organization record, active in the CMS NPPES registry since May 6, 2011.
## Identity
- **NPI:** 1558653741 (Entity type: Organization)
- **Enumerated:** May 6, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Clinch River Health Services Inc
- **Organization subpart:** No
- **Authorized official:** Gary Gilliam, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 17285 VETERANS MEMORIAL HWY, Dungannon, VA 24245
- **Phone:** (276) 467-2201 · **Fax:** (276) 467-2673
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Clinical Social Worker (2), Family Practice (1); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558653741) · Data from the CMS NPPES public registry.