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Tri State Clinic, Inc.

Internal Medicine Physician in Grundy, VA · enumerated 2007 · authorized official Janet Stacy, Manager.

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

National Provider Identifier

1518083971

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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
Fax (276) 935-4430
Enumeration date Mar 21, 2007
Last updated in NPPES Jan 9, 2015

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110004247 (VA) Secondary

Authorized official

Name Janet Stacy
Title Manager

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-01-09. Verify at npiregistry.cms.hhs.gov.
Where is Tri State Clinic, Inc. located?
The practice location on file with NPPES is in Grundy, VA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-09.