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CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC NPI 1609994284


NPI Information

NPI: 1609994284
Provider Name: CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
6719 GOV G. C. PEERY HWY
SUITE 3650
RICHLANDS, VA
ZIP 24641
Phone: (276) 596-6773
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CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC is a surgery in Richlands, VA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC NPI is 1609994284. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6719 GOV G. C. PEERY HWY
SUITE 3650
RICHLANDS, VA
ZIP 24641-055
Phone: (276) 596-6773
Fax: (866) 803-1898

The provider's authorized official is Monica Bowman .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 12/28/2022.


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
1208800000XUrologyNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207Q00000XFamily MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RG0100XInternal MedicineGastroenterologyNo
7207RH0003XInternal MedicineHematology & OncologyNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9207RX0202XInternal MedicineMedical OncologyNo
10207X00000XOrthopaedic SurgeryNo
11207Y00000XOtolaryngologyNo
122086S0129XSurgeryVascular SurgeryNo
13208600000XSurgery0101240724VIRGINIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.