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WISE COUNTY INTEGRATED CARE
NPI 1174982193
Clinic/Center - Primary Care in Big Stone Gap, VA

Active since February 18, 2016
43 CHAMPIONS AVE, SUITE 1, BIG STONE GAP, VA 24219(276) 523-8300(423) 467-3644 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wise County Integrated Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISE COUNTY INTEGRATED CARE (NPI 1174982193) is a healthcare organization registered as a primary care in Big Stone Gap, Virginia and active in the NPI registry since February 2016. The organization lists Teresa Kidd, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1174982193
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWISE COUNTY INTEGRATED CARE
Location Address43 CHAMPIONS AVE, SUITE 1Big Stone Gap, VA 24219-1105
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644
Phone(276) 523-8300
Fax(423) 467-3644
Organization SubpartYesParent: Frontier Health
Authorized OfficialTeresa KiddPresident & Ceo · (423) 467-3600
Enumeration DateFebruary 18, 2016
✔ NPI 1174982193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 315-07-004
43 CHAMPIONS AVE, Big Stone Gap, VA 24219
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERI ANN MEADOWLARK MA, LMFT
Marriage & Family Therapist
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
WHITNEY B TRINKLE MED
Counselor (Mental Health)
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
ELIZABETH K DAVENPORT LCSW
Social Worker (Clinical)
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
CRYSTAL G SLUSS LPC
Counselor (Professional)
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-0682
MARY CHRYSTAL DIETS
Case Manager/Care Coordinator
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
FRONTIER HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 245-5001
TERESA BEVERLY LPN
Licensed Practical Nurse
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
SARAH E NUNLEY LPC
Counselor (Professional)
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wise County Integrated Care's NPI number?

The NPI number for Wise County Integrated Care is 1174982193. It was assigned to this organization in the NPPES registry on February 18, 2016.

Where is Wise County Integrated Care located?

Wise County Integrated Care is located at 43 Champions Ave Suite 1, Big Stone Gap, VA 24219. The listed phone number is (276) 523-8300.

What is Wise County Integrated Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wise County Integrated Care was last updated on February 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.