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Organization
ST. MARY'S HEALTH WAGON
Active
Organization
ST. MARY'S HEALTH WAGON
Active
Other names
The Health Wagon
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA MEADE (CLINICAL DIRECTOR)
(276) 328-8850
Entity
Organization
Contact information
Practice address
233 CHASE ST., CLINTWOOD, VA 24228
(276) 926-2254
Mailing address
233 CHASE ST., CLINTWOOD, VA 24228
(276) 926-2254
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0024128995
VA
Other
Enumeration date
07/14/2008
Last updated
04/15/2019
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