Wellmont Physician Services Inc

LBN: Wellmont Physician Services Inc
Wellmont Physician Services Inc is an health care organization with primary practice located at 1 Cloverleaf Sq Suite F1, Big Stone Gap VA 24219-2758. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wellmont Physician Services Inc can be contacted via phone (276) 523-6175, or through Locke, Cindy M via phone (423) 224-3250.

Contact Information

Primary practice address
1 Cloverleaf Sq Suite F1 Big Stone Gap VA 24219-2758
Phone: (276) 523-6175
Fax: (276) 523-6719
Website:
Map and Directions
Authorized official contact:
Name: Locke, Cindy M CPC CCS-P
Phone: (423) 224-3250

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1366560161
LBN Legal business name Wellmont Physician Services Inc
DBA Doing business as
Authorized official Locke, Cindy M CPC CCS-P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Nov 5th, 2010 - about 15 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 1366560161 NPPES
Virginia Other 608464002 DEPARTMENT OF LABOR
Virginia Other 023305000 DEPARTMENT OF LABOR
Virginia MEDICAID 65904120 DEPARTMENT OF LABOR
Virginia Other 1527279 DEPARTMENT OF LABOR

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