Provider Demographics
NPI:1346986072
Name:MCCLINTON & ASSOCIATES LLC
Entity type:Organization
Organization Name:MCCLINTON & ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TREMAINE
Authorized Official - Middle Name:RAEL
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:CCA, CHW
Authorized Official - Phone:757-447-4517
Mailing Address - Street 1:540 CORAL CT APT 2G
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4341
Mailing Address - Country:US
Mailing Address - Phone:757-447-4517
Mailing Address - Fax:
Practice Address - Street 1:540 CORAL CT APT 2G
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4341
Practice Address - Country:US
Practice Address - Phone:757-447-4517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCCLINTON & ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-06
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251K00000XAgenciesPublic Health or Welfare
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1013217124OtherNPI