THE HEALTH WAGON
NPI 1114356037
Family Medicine in Wise, VA
- Organization
- Family Medicine
- CLIA Number: 49D1039734
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 11-05-2025
About THE HEALTH WAGON
This page provides the complete NPI Profile along with additional information for The Health Wagon, a primary care provider established in Wise, Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114356037 assigned on November 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is The Health Wagon. The authorized official of this NPI record is Ms. Teresa L. Gardner D.n.p. (Executive Director)
- NPI
- 1114356037 Verify this NPI
- Provider Legal Name
- ST. MARY'S HEALTH WAGON
- Other Organization Name
- THE HEALTH WAGON
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 5626 PATRIOT DRIVE WISE, VA 24293
- Location Phone
- (276) 328-8850
- Location Fax
- (276) 328-8853
- Mailing Address
- 5626 PATRIOT DRIVE WISE, VA 24293
- Mailing Phone
- (276) 328-8850
- Mailing Fax
- (276) 328-8853
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-02-2013
- Last Update Date
- 11-02-2013
- Code Navigator
A primary care provider (PCP) like The Health Wagon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D1039734
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- November 06, 2023
- Certificate Expiration Date
- November 05, 2025
- Laboratory Director
- TERESA L. TYSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Health Wagon to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114356037, enumerated as an "organization" on November 02, 2013.
The provider is located at 5626 PATRIOT DRIVE WISE, VA 24293 and the phone number is (276) 328-8850.
Family Medicine with taxonomy code 207Q00000X.
