Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri State Clinic, Inc

Organization Internal Medicine Physician · NPI 1518083971

Tri State Clinic, Inc is an Internal Medicine Physician in Grundy, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1520 Slate Creek Rd
Grundy, VA 24614-6975
Phone: (276) 935-6055
Fax: (276) 935-4430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X · Licence 0110004247 (VA)

Record details

NPI number1518083971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Stacy — Manager · (276) 935-6055
Other names Tri State Rural Health Clinic
NPI enumeratedMarch 21, 2007
Last updated in NPPESJanuary 9, 2015
Mailing address1520 Slate Creek Rd, Grundy, VA 24614-6975

Other providers in Grundy