Wise County Integrated Care
Wise County Integrated Care is a healthcare organization registered as Primary Care Clinic/Center in Big Stone Gap, VA, holding Type 2 (organization) NPI 1174982193 since 2016. The authorized official on file is Teresa Kidd, President & Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1174982193 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wise County Integrated Care |
| Parent organization | Frontier Health |
| Practice address | 43 CHAMPIONS AVE, SUITE 1, Big Stone Gap, VA, 24219 |
| Phone | 2765238300 |
| Fax | 4234673644 |
| Enumeration date | 2016-02-18 |
| Last updated in NPPES | 2016-02-18 |
Authorized official
| Name | Teresa Kidd |
|---|---|
| Title | President & Ceo |
| Phone | 4234673600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 315-07-004 | VA |
Copy-ready billing details
Provider: Wise County Integrated Care NPI: 1174982193 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 43 CHAMPIONS AVE, SUITE 1, Big Stone Gap, VA, 24219
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750392965 | Rebecca Mullins | Individual | Family Nurse Practitioner | Big Stone Gap, VA |
| 1699867606 | William Phillips | Individual | Professional Counselor | Big Stone Gap, VA |
| 1700924099 | Daphne Blanton | Individual | Professional Counselor | Big Stone Gap, VA |
| 1043344724 | Cheri Meadowlark | Individual | Marriage & Family Therapist | Big Stone Gap, VA |
| 1881981355 | Susan Bolling | Individual | Professional Counselor | Big Stone Gap, VA |
| 1922437011 | Celeste Mullins | Individual | Family Nurse Practitioner | Big Stone Gap, VA |
| 1316306491 | Teresa Beverly | Individual | Licensed Practical Nurse | Big Stone Gap, VA |
| 1427417609 | Jennifer Cox | Individual | Licensed Practical Nurse | Big Stone Gap, VA |
Verify this record
Cross-check NPI 1174982193 against the authoritative CMS record: view Wise County Integrated Care on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Wise County Integrated Care?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-02-18.