WISE COUNTY INTEGRATED CARE
NPI 1174982193
Clinic/Center - Primary Care in Big Stone Gap, VA
NPI Status: Active since February 18, 2016
Contact Information
43 CHAMPIONS AVE
SUITE 1
BIG STONE GAP, VA
ZIP 24219
Phone: (276) 523-8300
Fax: (423) 467-3644
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 49D2107107
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-05-2026
About WISE COUNTY INTEGRATED CARE
This page provides the complete NPI Profile along with additional information for Wise County Integrated Care, a primary care provider established in Big Stone Gap, Virginia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1174982193 assigned on February 2016. The practitioner's primary taxonomy code is 261QP2300X with license number 315-07-004 (VA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Teresa Kidd Phd (President & Ceo)
- NPI
- 1174982193
- Provider Name
- WISE COUNTY INTEGRATED CARE
- Entity Type
- Organization
- Location Address
- 43 CHAMPIONS AVE SUITE 1 BIG STONE GAP, VA 24219
- Location Phone
- (276) 523-8300
- Location Fax
- (423) 467-3644
- Mailing Address
- 1167 SPRATLIN PARK DR GRAY, TN 37615
- Mailing Phone
- (423) 467-3600
- Mailing Fax
- (423) 467-3644
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-18-2016
- Last Update Date
- 02-18-2016
- Code Navigator
A primary care provider (PCP) like Wise County Integrated Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 315-07-004
- License State
- VA
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2107107
- Facility Type
- Physician Office
- Certificate Effective Date
- January 06, 2024
- Certificate Expiration Date
- January 05, 2026
- Laboratory Director
- CLINTON ALLEN MUSIL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wise County Integrated Care in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for WISE COUNTY INTEGRATED CARE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 9 | 8 | 2 | 1 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 18 | 8 | 4 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 8 + 8 + 4 + 1 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1174982193 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881981355 | SUSAN KAY BOLLING Individual | Counselor (Professional) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1316306491 | TERESA BEVERLY LPN Individual | Licensed Practical Nurse | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1427417609 | JENNIFER MAE COX LPN Individual | Licensed Practical Nurse | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1225512106 | MARY CHRYSTAL DIETS Individual | Case Manager/Care Coordinator | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1730642331 | MICHAEL S LILLY LPC Individual | Counselor (Professional) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1699867606 | MR. WILLIAM JOSEPH PHILLIPS L.P.C. Individual | Counselor (Professional) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1750392965 | REBECCA J MULLINS FNP Individual | Nurse Practitioner (Family) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1043344724 | CHERI ANN MEADOWLARK MA, LMFT Individual | Marriage & Family Therapist | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1942946777 | ALEX D HAMM LPC Individual | Counselor (Professional) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1700924099 | DAPHNE DAWN BLANTON M.ED Individual | Counselor (Professional) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1124731914 | WHITNEY B TRINKLE MED Individual | Counselor (Mental Health) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1790385672 | KATLYN L NUNLEY LPC Individual | Counselor (Professional) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1407638950 | SARAH E NUNLEY LPC Individual | Counselor (Professional) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1194584599 | ELIZABETH K DAVENPORT LCSW Individual | Social Worker (Clinical) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1922437011 | CELESTE MULLINS N.P. Individual | Nurse Practitioner (Family) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 523-8300 |
| 1285463307 | FRONTIER HEALTH Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 43 CHAMPIONS AVE BIG STONE GAP, VA 24219 (276) 245-5001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174982193, enumerated in the NPI registry as an "organization" on February 18, 2016
The provider is located at 43 Champions Ave Suite 1 Big Stone Gap, Va 24219 and the phone number is (276) 523-8300
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 49D2107107 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 18, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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