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Dickenson Medical Associates A Department of Dickenson Community Hospi

Rural Health Clinic/Center in Clintwood, VA · enumerated 2006 · authorized official Mary Krutak, Evp/Cfo.

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

National Provider Identifier

1871517151

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Registry record

Entity type Organization (Type 2)
Legal business name Dickenson Medical Associates A Department of Dickenson Community Hospi
Other name <Unavail>
Parent organization Dickenson Community Hospital, Inc
Practice address 364 Hospital Dr, Clintwood, VA, 24228
Phone (276) 926-0200
Fax (276) 926-6675
Enumeration date Jul 27, 2006
Last updated in NPPES Aug 12, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101240240 (VA) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101016773 (VA) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 0102201380 (VA) Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 0017001384 (VA) Secondary

Authorized official

Name Mary Krutak
Title Evp/Cfo
Phone (423) 302-3423

Other identifiers

Identifier Type State Issuer
18871517151 Medicaid VA -
DC7419 Other VA RR MEDICARE

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

What type of organization is Dickenson Medical Associates A Department of Dickenson Community Hospi?
Dickenson Medical Associates A Department of Dickenson Community Hospi is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-12.