CLINCH VALLEY NEPHROLOGYINC. NPI 1295914679

NPI Information

  • NPI: 1295914679
  • Provider Name: CLINCH VALLEY NEPHROLOGY,INC.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 2951 FRONT ST
    CLINCH VALLEY MEDICAL PLAZA, SUITE 1600
    RICHLANDS, VA
    ZIP 24641
  • Phone: (276) 964-4001

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NPI Details

CLINCH VALLEY NEPHROLOGY,INC. is a nephrology internal medicine in Richlands, VA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CLINCH VALLEY NEPHROLOGY,INC. NPI is 1295914679. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2951 FRONT ST
CLINCH VALLEY MEDICAL PLAZA, SUITE 1600
RICHLANDS, VA
ZIP 24641-055
Phone: (276) 964-4001

The provider's authorized official is In Young Park .
The authorized official title is C.e.o. and has the following contact phone number (276) 964-4001.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology0101029175VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D91218MEDICARE UPINVIRGINIA
25879884MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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