Active NPI
Wise County Integrated Care
- Primary Care Clinic/Center
- Big Stone Gap, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 315-07-004
- Legal business name
- WISE COUNTY INTEGRATED CARE
- Practice address
- 43 Champions Ave
Suite 1
Big Stone Gap, VA 24219-1105 - Phone
- (276) 523-8300
- Fax
- (423) 467-3644
- NPI assigned
- Feb 18, 2016
- Last updated
- Feb 18, 2016
- Organization subpart
- Yes
- Parent organization
- FRONTIER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Teresa Kidd, PHD
- Title
- President & Ceo
- Phone
- (423) 467-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 315-07-004 | VA | Primary |
Addresses
Primary practice location
43 Champions Ave
Suite 1
Big Stone Gap, VA 24219-1105
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600
National Provider Directory
National Provider Directory- Tax ID family
- Wise County Integrated Care
- Part of
- Wise County Integrated Care
Organizations with this tax ID in the same state 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Independence House
- Community/Behavioral Health Agency
- Big Stone Gap, VA
- NPI 1194875039
-
dba Scott County Behavioral Health Services
- Case Management Agency
- Weber City, VA
- NPI 1194881623
-
dba Addington Hall
- Child Intellectual and/or Developmental Disabilities Respite Care
- Duffield, VA
- NPI 1194886788
-
dba Sunhouse Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bristol, VA
- NPI 1205987849
-
dba Independence Unlimited
- Developmentally Disabled Services Day Training Agency
- Duffield, VA
- NPI 1235280892
-
dba Community Connections
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Big Stone Gap, VA
- NPI 1285463307
-
dba Polly Summit
- Mental Illness Community Based Residential Treatment Facility
- Big Stone Gap, VA
- NPI 1427109560
-
dba Pierce House Residential Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Big Stone Gap, VA
- NPI 1518018654
-
dba Wise County Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norton, VA
- NPI 1649336173
-
dba Lee County Behavioral Health Services
- Case Management Agency
- Jonesville, VA
- NPI 1659436228
-
dba Developmental Services
- Developmentally Disabled Services Day Training Agency
- Big Stone Gap, VA
- NPI 1669517561
Locations
43 Champions Ave
Ste 1
Big Stone Gap, VA 24219
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Greeneville, TN
- NPI 1386656403
-
- Psychiatry Physician
- Bristol, TN
- NPI 1952411753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455753600000",
"number": "1174982193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 SPRATLIN PARK DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376156205",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CHAMPIONS AVE",
"address_2": "SUITE 1",
"city": "BIG STONE GAP",
"state": "VA",
"postal_code": "242191105",
"telephone_number": "276-523-8300",
"fax_number": "423-467-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISE COUNTY INTEGRATED CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRONTIER HEALTH",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-18",
"status": "A",
"authorized_official_last_name": "KIDD",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "423-467-3600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "VA",
"license": "315-07-004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Stone Gap, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.