Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Mary's Health Wagon

Organization Family Medicine Physician · NPI 1114356037

St Mary's Health Wagon provides Family Medicine Physician services in Wise, Virginia. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

5626 Patriot Dr
Wise, VA 24293-7070 Not confirmed with CMS for 12 years — call before visiting
Phone: (276) 328-8850
Fax: (276) 328-8853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1114356037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Gardner — Executive Director · (276) 328-8850
Other names The Health Wagon
NPI enumeratedNovember 2, 2013
Last updated in NPPESNovember 2, 2013
Mailing address5626 Patriot Drive, Wise, VA 24293-7070

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