Welvista

LBN: Welvista
Welvista is an health care organization with primary practice located at 2700 Middleburg Dr Ste 108 , Columbia SC 29204-2416. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Welvista can be contacted via phone (803) 933-9183, or through Wright, Juanita via phone (803) 933-9183.

Contact Information

Primary practice address
2700 Middleburg Dr Ste 108 Columbia SC 29204-2416
Fax: (803) 254-0892
Website:
Authorized official contact:
Name: Wright, Juanita

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 10219 South Carolina

Profile Details

NPI number 1023200441
LBN Legal business name Welvista
DBA Doing business as Welvista
Authorized official Wright, Juanita
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2007
Last updated Jun 3rd, 2015 - about 9 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 1023200441 NPPES
Other 2093414 PK
MEDICAID 710219 PK

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