Wellmont Physician Services Inc

LBN: Wellmont Physician Services Inc
Wellmont Physician Services Inc is an health care organization with primary practice located at 1980 Holton Ave E , Big Stone Gap VA 24219-3366. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wellmont Physician Services Inc can be contacted via phone (276) 523-8741, or through Locke, Cindy M via phone (423) 224-3250.

Contact Information

Primary practice address
1980 Holton Ave E Big Stone Gap VA 24219-3366
Phone: (276) 523-8741
Fax: (276) 523-8745
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 / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1851419659
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 Apr 22nd, 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 1851419659 NPPES
Kentucky MEDICAID 65931099
Kentucky MEDICAID 65942229
Kentucky Other 1527279
Kentucky Other 023305000

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