WATAUGA RECOVERY CENTER WYTHEVILLE (NPI# 1952852261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952852261 |
| Entity Type | Organization |
| Organization Name | WATAUGA RECOVERY CENTER WYTHEVILLE |
| Practice Address |
255 Holston Rd Wytheville VA 04382-4448 |
| Mailing Address |
255 Holston Rd Wytheville VA 24382-4448 |
| Practice Telephone | 2762270206 |
| Practice Fax Number | 2762270856 |
| Mailing Telephone | 2762270206 |
| Mailing Fax Number | 2762270856 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | MRS. BETTY C LINKE (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 4236310432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
0101041174 | VA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WATAUGA RECOVERY CENTER WYTHEVILLE P.C. | 3114 Browns Mill Road, Johnson City, Tennessee 37604 |
| Street Address |
255 HOLSTON RD |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 04382-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104166 | Family Preservation Services, Inc. | Community/Behavioral Health | 255 Holston Rd, Wytheville, VA 24382-4448 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402995 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 150 W Main St Ste E, Wytheville, VA 24382-2376 | 2020-09-23 |
| 1467070649 | Catherine Elizabeth Granai | Nurse Practitioner | 2130 W Ridge Rd, Wytheville, VA 24382-5026 | 2020-07-14 |
| 1619506367 | Tara Brewster Lineberry | Social Worker | 3450 W Lee Hwy, Wytheville, VA 24382-1363 | 2020-04-05 |
| 1477188563 | Town of Wytheville | Ambulance | 185 W Spring St, Wytheville, VA 24382-2649 | 2020-03-09 |
| 1871123729 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 795 Fairview Rd, Wytheville, VA 24382-4501 | 2020-01-20 |
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1205475092 | Bland Ministry Center and Dental Clinic | Dentist | 435 W North St, Wytheville, VA 24382-2246 | 2019-12-27 |
| 1205473428 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 590 W Ridge Rd Ste K, Wytheville, VA 24382-1067 | 2019-12-06 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| Find all providers in WYTHEVILLE | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177590 | Appalachian Counseling and Medical, LLC | Family Medicine | 142 Mall Church Rd, Cedar Bluff, VA 24609-7081 | 2020-06-04 |
| 1699397786 | Care Connect Behavioral Health, LLC | Family Medicine | 3520 High St Ste 100, Portsmouth, VA 23707-3126 | 2020-05-12 |
| 1083252704 | Kimberly Albero | Family Medicine | 1801 Wickham Pl, Charlottesville, VA 22901-9235 | 2019-12-12 |
| 1154898997 | Regional Health Providers LLC | Family Medicine | 3917 Old Lee Hwy Ste 11d, Fairfax, VA 22030-2431 | 2018-10-30 |
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1376054395 | Virginia Calyx Professional Services, LLC | Family Medicine | 681 Hioaks Rd Ste C, Richmond, VA 23225-4043 | 2017-10-17 |
| 1871026831 | Masaru Nishiaoki | Family Medicine | 501 N 2nd St # 100, Richmond, VA 23219-1359 | 2017-04-06 |
| 1083146302 | Affinity Healthcare Group Franklin LLC | Family Medicine | 6806 Forest Lake Ct, Suffolk, VA 23435-2935 | 2017-03-28 |
| 1437699766 | Affinity Healthcare Group Newport News, LLC | Family Medicine | 6000 Jefferson Ave, #b, Newport News, VA 23605-3266 | 2017-03-06 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
| City | WYTHEVILLE |
| Zip Code | 04382 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.