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Wise County Integrated Care
Primary Care Clinic/Center in Big Stone Gap, Virginia
NPI 1174982193

Wise County Integrated Care is a Primary Care Clinic/Center based in Gray, VA and is specialized in Primary Care. Wise County Integrated Care practices in Big Stone Gap, VA. The NPI Number for Wise County Integrated Care is 1174982193 and holds a License No. 315-07-004 (Virginia).

The current practice location address for Wise County Integrated Care is 43 Champions Ave, Big Stone Gap, VA and can be reached out via phone at 276-523-8300 and via fax at 423-467-3644.

Location: 43 Champions Ave, Big Stone Gap, VA, 37615-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174982193
Provider Name
Wise County Integrated Care
Credential
Provider Entity Type
Organization
Address
43 Champions Ave, Big Stone Gap, VA, 37615-6205
Phone Number
276-523-8300
Fax Number
423-467-3644
Provider Enumeration Date
02/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
43 Champions Ave
City
Big Stone Gap
State
Virginia
Zip
24219-1105
Phone Number
276-523-8300
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
43 Champions Ave
City
Big Stone Gap
State
Virginia
Zip
24219-1105
Phone Number
276-523-8300
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
315-07-004 (Virginia)
Definition
Definition to come...
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