BHMA WOUND CARE DCH - NPI 1477360097 - Registered Nurse in Clintwood, VA

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WW0000X and a focus in Wound Care.

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About Bhma Wound Care Dch NPPES

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

BHMA WOUND CARE DCH (NPI 1477360097) is a healthcare organization registered as a wound care in Clintwood, Virginia and active in the NPI registry since December 2024. The organization lists Juanita L Harwood, Director, as its authorized official.

NPPES Registry Identity

NPI1477360097

Entity TypeOrganization

Primary Taxonomy163WW0000X

Legal Business NameDICKENSON COMMUNITY HOSPITAL, INC.

Location Address312 HOSPITAL DRClintwood, VA 24228-6786

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565

Phone(276) 439-1450

Fax(276) 439-1451

Organization SubpartNo

Authorized OfficialJuanita L HarwoodDirector · (423) 302-6565

Enumeration DateDecember 17, 2024

NPPES CertifiedDecember 17, 2024

✔ NPI 1477360097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers

Taxonomy Code163WW0000X

Also ListedInternal MedicineTaxonomy 207R00000X

312 HOSPITAL DR, Clintwood, VA 24228

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Other Names 1

Other NameBhma Wound Care Dch

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 44D0948280

Bhma Dba Bhma Pediatrics Johnson City · Johnson City, TN

Active · expires Nov 30, 2027

CLIA Number44D0948280

Laboratory TypePhysician Office

Certificate Effective DateDecember 1, 2025

Certificate Expiration DateNovember 30, 2027

Laboratory DirectorJustin Jones

Laboratory Phone(423) 952-8000

Laboratory LocationBhma Dba Bhma Pediatrics Johnson City1021 W Oakland Avenue Suite 301, Johnson City, TN 37604

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DR. JANA K DREYZEHNER MD

Psychiatry & Neurology (Psychiatry)