DICKENSON MEDICAL CLINIC PC
NPI 1851452411
Clinic/Center - Rural Health in Clintwood, VA

Active since December 13, 2006
5607 DICKENSON HIGHWAY, CLINTWOOD, VA 24228(276) 926-4601(276) 926-4602 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dickenson Medical Clinic Pc NPPES

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

DICKENSON MEDICAL CLINIC PC (NPI 1851452411) is a healthcare organization registered as a rural health in Clintwood, Virginia and active in the NPI registry since December 2006. The organization lists Rimon Ibrahim, Owner, as its authorized official.

NPPES Registry Identity

NPI1851452411
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDICKENSON MEDICAL CLINIC PC
Location Address5607 DICKENSON HIGHWAYClintwood, VA 24228
Mailing AddressPo Box 2224Clintwood, VA 24228-2224 · (276) 926-4601 · Fax (276) 926-4602
Fax(276) 926-4602
Organization SubpartNo
Authorized OfficialRimon IbrahimOwner · (276) 926-4601
Enumeration DateDecember 13, 2006
Last NPPES UpdateMarch 31, 2010
NPI 1851452411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
5607 DICKENSON HIGHWAY, Clintwood, VA 24228

Other Identifiers 4

Medicare UPINF82939VA
Medicare UPINQ74817VA
Medicare PINC09830
Medicaid010264995VA

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 Dickenson Medical Clinic PC's NPI number?

The NPI number for Dickenson Medical Clinic PC is 1851452411. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Dickenson Medical Clinic PC located?

Dickenson Medical Clinic PC is located at 5607 Dickenson Highway, Clintwood, VA 24228. The listed phone number is (276) 926-4601.

What is Dickenson Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Dickenson Medical Clinic PC was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.