| The Health Wagon | |
|
5626 Patriot Drive Wise VA 24293-7070 | |
| (276) 328-8850 | |
| (276) 328-8853 |
| Full Name | The Health Wagon |
|---|---|
| Speciality | Family Medicine |
| Location | 5626 Patriot Drive, Wise, Virginia |
| Authorized Official Name and Position | Teresa L. Gardner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2763288850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Health Wagon 5626 Patriot Drive Wise VA 24293-7070 Ph: (276) 328-8850 | The Health Wagon 5626 Patriot Drive Wise VA 24293-7070 Ph: (276) 328-8850 |
| NPI Number | 1114356037 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Medicare PECOS PAC ID | 7113969577 |
|---|---|
| Medicare Enrollment ID | O20050525000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114356037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry Price Viers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700123122 PECOS PAC ID: 1355587296 Enrollment ID: I20130418000385 |
New Hope Addiction Recovery Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Spring Avenue Ne, Wise, VA 24293 Phone: 276-533-3193 Fax: 276-533-3197 | |
Nch Residency Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Spring Ave Ne, Wise Professional Office Bldg, Wise, VA 24293 Phone: 276-328-3394 Fax: 276-328-3396 |