BHRHC DICKENSON
NPI 1871517151
Clinic/Center - Rural Health in Clintwood, VA
About Bhrhc Dickenson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BHRHC DICKENSON (NPI 1871517151) is a healthcare organization registered as a rural health in Clintwood, Virginia and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through February 1, 2027 and lists Mary Lynn Krutak, Evp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bhrhc Dickenson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Bhrhc Dickenson, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 21Richmond, VA 23249
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Accreditation 49D0232228
Bhrhc Dickenson · Clintwood, VAFrequently 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 Associates A Department Of Dickenson Community Hospi's NPI number?
The NPI number for Dickenson Medical Associates A Department Of Dickenson Community Hospi is 1871517151. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Bhrhc Dickenson.
Where is Dickenson Medical Associates A Department Of Dickenson Community Hospi located?
Dickenson Medical Associates A Department Of Dickenson Community Hospi is located at 364 Hospital Dr, Clintwood, VA 24228. The listed phone number is (276) 926-0200.
What is Dickenson Medical Associates A Department Of Dickenson Community Hospi's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Dickenson Medical Associates A Department Of Dickenson Community Hospi enrolled in Medicare?
Yes. Dickenson Medical Associates A Department Of Dickenson Community Hospi is registered in the Medicare PECOS enrollment system.
When is Dickenson Medical Associates A Department Of Dickenson Community Hospi's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dickenson Medical Associates A Department Of Dickenson Community Hospi?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Dickenson Medical Associates A Department Of Dickenson Community Hospi. 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 Psychiatry (11), Nurse Practitioner (8) and Internal Medicine (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dickenson Medical Associates A Department Of Dickenson Community Hospi hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 49D0232228) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dickenson Medical Associates A Department Of Dickenson Community Hospi accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dickenson Medical Associates A Department Of Dickenson Community Hospi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dickenson Medical Associates A Department Of Dickenson Community Hospi was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bhrhc Dickenson · NPI 1871517151
Rural Health organization in Clintwood, Virginia. Organization record, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1871517151 (Entity type: Organization)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Dickenson Medical Associates A Department Of Dickenson Community Hospi
- **Organization subpart:** Yes (part of Dickenson Community Hospital, Inc)
- **Authorized official:** Mary Krutak, EVP/CFO
## Practice location
- **Address:** 364 HOSPITAL DR, Clintwood, VA 24228-6786
- **Phone:** (276) 926-0200 · **Fax:** (276) 926-6675
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 21 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (11), Nurse Practitioner (8), Internal Medicine (2); 3 practice at this address; [full list](https://npiprofile.com/npi/1871517151/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2024
- **Other identifiers:** Medicaid 18871517151 (VA); Other DC7419 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871517151) · Data from the CMS NPPES public registry.