Sugar Hollow Medical

LBN: Sugar Hollow Medical
Sugar Hollow Medical is an health care organization with primary practice located at 3177 Linden Dr Suite #6, Bristol VA 24202-5812. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Sugar Hollow Medical can be contacted via phone (276) 466-3777, or through Guldseth, David P via phone (276) 466-3777.

Contact Information

Primary practice address
3177 Linden Dr Suite #6 Bristol VA 24202-5812
Fax: (276) 466-3705
Website:
Authorized official contact:
Name: Guldseth, David P Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101231449 Virginia
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 0101231449 Virginia

Profile Details

NPI number 1972772929
LBN Legal business name Sugar Hollow Medical
DBA Doing business as
Authorized official Guldseth, David P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2008
Last updated Apr 15th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972772929 NPPES
Other 4053485 BLUE CROSS -- TN
MEDICAID 5629934 BLUE CROSS -- TN
Other 246144 BLUE CROSS -- TN
Other 00V083S29 BLUE CROSS -- TN

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