WYNN MEDICAL CENTER
NPI 1457056566
Clinic/Center - Health Service in Duffield, VA
About Wynn Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYNN MEDICAL CENTER (NPI 1457056566) is a healthcare organization registered as a health service in Duffield, Virginia and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 18, 2027, maintains a secondary practice location in Pennington Gap, and lists Lisa Ann Wynn, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D2280429
Wynn Medical Center PLLC · Pennington Gap, VAFrequently 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 Wynn Medical Center's NPI number?
The NPI number for Wynn Medical Center is 1457056566. It was assigned to this organization in the NPPES registry on March 31, 2023.
Where is Wynn Medical Center located?
Wynn Medical Center is located at 225 Boone Trail Rd Suite 200, Duffield, VA 24244. The listed phone number is (276) 231-9228.
What is Wynn Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does Wynn Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2280429) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wynn Medical Center was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wynn Medical Center · NPI 1457056566
Health Service organization in Duffield, Virginia. Organization record, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1457056566 (Entity type: Organization)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Lisa Wynn, PROVIDER
## Practice location
- **Address:** 225 BOONE TRAIL RD, SUITE 200, Duffield, VA 24244
- **Phone:** (276) 231-9228
## Record status
- **NPPES last updated:** May 30, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457056566) · Data from the CMS NPPES public registry.