THE HEALTH WAGON – NPI #1487818902
Clinic/Center

THE HEALTH WAGON is an AHC clinic located in CLINTWOOD, VA. NPPES has assigned the NPI number 1487818902 to THE HEALTH WAGON on July 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE HEALTH WAGON” is a dba name, the actual legal business name for this organization is ST. MARY'S HEALTH WAGON. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 7 years ago on Apr 15, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE HEALTH WAGON below.

NPI Profile for
ST. MARY'S HEALTH WAGON

NPI Number
1487818902
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. MARY'S HEALTH WAGON
Doing Business As (dba): THE HEALTH WAGON
Primary location
233 CHASE ST.
CLINTWOOD, VA 24228
Phone: (276) 926-2254 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAULA MEADE
CLINICAL DIRECTOR
Phone: (276) 328-8850
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)
VA 0024128995

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.