Tri State Clinic, Inc.
NPI 1518083971ActiveOrganization· Internal Medicine· Grundy, VA
Internal Medicine in Grundy, Virginia, registered in NPPES in March 2007. The authorized official on file is Janet Stacy, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518083971 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Jan 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Physician Assistant | 363A00000X | 0110004247 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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