Keen Mountain Clinic – Rural Health Clinic/Center, NPI 1750974002

Keen Mountain Clinic is a healthcare provider. based in Grundy, Virginia. specializing in Rural Health Clinic/Center. The NPI Number for Keen Mountain Clinic is 1750974002

Main info

Organization
Name
Keen Mountain Clinic
NPI
1750974002
Phone
(276) 935-1000
Address
1535 SLATE CREEK RD
Authorized Official
KIMETHA LEA BOYD CHIEF FINANCIAL OFFICER
Enumeration Date
18 February 2021
Last Update Date
18 February 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Keen Mountain Clinic

  • 1535 SLATE CREEK RD

    GRUNDY, VA 246146974

    Phone: (276) 935-1000

    Type: Mailing

  • 8243 RIVERSIDE DR

    OAKWOOD, VA 246318973

    Phone: (276) 498-3446

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210825002065OOtherVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24614)

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Reviews

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Frequently asked questions

Is Keen Mountain Clinic listed with a National Provider Identifier?
Yes — Keen Mountain Clinic has NPI 1750974002 on file in the registry.
Active or inactive — what applies to Keen Mountain Clinic?
You should see Keen Mountain Clinic as active in CMS-hosted NPPES data.
What clinical focus is listed for Keen Mountain Clinic?
At a glance, Keen Mountain Clinic is tied to Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Virginia is Keen Mountain Clinic registered?
Use Grundy, Virginia as the headline location for Keen Mountain Clinic here.
When was this NPI issued?
Enumeration for Keen Mountain Clinic is noted as February 18, 2021 where the registry provides it.

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