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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