T W Wagner Inc is a Rural Health in Manila, Arkansas. T W Wagner Inc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for T W Wagner Inc is 1548244171. The last update date is 2016-07-22.
T W Wagner Inc's current location address is Po Box 910, Manila, Arkansas. You can contact this provider via phone number 8705613300 and fax number 8705613307. The mailing address for T W Wagner Inc is Po Box 910, Manila, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | T W Wagner Inc |
|---|---|
| Address | Po Box 910, Manila, Arkansas |
| Phone Number | 8705613300 |
| Fax Number | 8705613307 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wagner W Tommy |
| Credentials | M.D. |
| Telephone Number | 8705613300 |
NPI Number Detail
| NPI Number | 1548244171 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2016-07-22 |
Provider Mailing Address Detail
| Address | Po Box 910 |
|---|---|
| City | Manila |
| State | Arkansas (AR) |
| Post Code | 724420910 |
| Phone Number | 8705613300 |
| Fax Number | 8705613307 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 157742729 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to T W Wagner Inc?
The T W Wagner Inc has been issued the NPI (National Provider Identifier) 1548244171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of T W Wagner Inc?
The T W Wagner Inc is physically situated at Po Box 910, in the city of Manila, state of AR, with the postal code 724420910.
What is T W Wagner Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for T W Wagner Inc is Rural Health, and the corresponding taxonomy classification code for this specialized field is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548244171 to T W Wagner Inc?
The Centers for Medicare & Medicaid Services assigned the 1548244171 to T W Wagner Inc on 2005-12-06.
As of what date were the details pertaining to T W Wagner Inc last refreshed?
The information related to the T W Wagner Inc, including its address, specialty, and other relevant details, was last updated on 2016-07-22.