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Tri State Clinic, Inc.

Rural Health Clinic/Center in Grundy, VA · enumerated 2006 · authorized official Janet Stacy, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124097795

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Registry record

Entity type Organization (Type 2)
Legal business name Tri State Clinic, Inc.
Other name <Unavail>
Practice address 1520 Slate Creek Rd, Grundy, VA, 24614
Phone (276) 935-8620
Fax (276) 935-4430
Enumeration date Mar 16, 2006
Last updated in NPPES Mar 9, 2010

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Janet Stacy
Title Administrator
Phone (276) 935-8620

Other identifiers

Identifier Type State Issuer
007610262 Medicaid VA -
35000470 Medicaid KY -
0034714000 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Tri State Clinic, Inc.?
NPPES lists Janet Stacy (Administrator) as the authorized official for this organization.
What is the NPI number for Tri State Clinic, Inc.?
The NPI for Tri State Clinic, Inc. is 1124097795, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-09.