BHRHC DICKENSON
NPI 1871517151
Clinic/Center - Rural Health in Clintwood, VA

Active since July 27, 2006CLIA 49D0232228 · Accreditation
364 HOSPITAL DR, CLINTWOOD, VA 24228(276) 926-0200(276) 926-6675 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2024, Nov 3, 2022, Nov 6, 2017 and 5 more (8 updates tracked since 2016).

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

NPI1871517151
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDICKENSON MEDICAL ASSOCIATES A DEPARTMENT OF DICKENSON COMMUNITY HOSPI
Location Address364 HOSPITAL DRClintwood, VA 24228-6786
Mailing Address509 Med Tech Pkwy Ste 100Johnson City, TN 37604-2579 · (423) 302-6567
Fax(276) 926-6675
Organization SubpartYesParent: Dickenson Community Hospital, Inc
Authorized OfficialMary Lynn KrutakEvp/cfo · (423) 302-3423
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 12, 20248 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1871517151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101240240 (VA), 0101016773 (VA)
Also ListedInternal MedicineTaxonomy 207R00000X · License 0102201380 (VA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0017001384 (VA)
364 HOSPITAL DR, Clintwood, VA 24228

Other Names 1

Doing Business AsBhrhc Dickenson

Other Identifiers 2

Medicaid18871517151VA
OtherDC7419VA · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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, VA
Active · expires Feb 1, 2027
CLIA Number49D0232228
Laboratory TypeHospital
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorDr. Thomas A. Barklow
Laboratory Phone(276) 926-0337
Laboratory LocationBhrhc Dickenson312 Hospital Drive 1st Floor Hospital, Clintwood, VA 24228
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
364 HOSPITAL DR
CLINTWOOD, VA 24228
Nurse Practitioner (Family)
364 HOSPITAL DR
CLINTWOOD, VA 24228
Psychiatry & Neurology (Psychiatry)
364 HOSPITAL DR
CLINTWOOD, VA 24228
Nurse Practitioner (Family)
364 HOSPITAL DR
CLINTWOOD, VA 24228
Family Medicine
364 HOSPITAL DR
CLINTWOOD, VA 24228
Clinic/Center (Rural Health)
364 HOSPITAL DR
CLINTWOOD, VA 24228

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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 with the weekly NPPES data releases published by CMS.