Wildcreek Family Medical Center

LBN: Wildcreek Family Medical Center
Wildcreek Family Medical Center is an health care organization with primary practice located at 2125 Green Vista Dr Suite 106, Sparks NV 89431-8545. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wildcreek Family Medical Center can be contacted via phone (775) 673-6681, or through Boyd, Phillis Maxine via phone (775) 673-6681.

Contact Information

Primary practice address
2125 Green Vista Dr Suite 106 Sparks NV 89431-8545
Phone: (775) 673-6681
Fax: (775) 673-6682
Website:
Map and Directions
Authorized official contact:
Name: Boyd, Phillis Maxine Doctor of Osteopathy (DO)
Phone: (775) 673-6681

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1619007176
LBN Legal business name Wildcreek Family Medical Center
DBA Doing business as
Authorized official Boyd, Phillis Maxine Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Dec 6th, 2012 - about 12 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 1619007176 NPPES
Nevada Other DB9089 RRMEDICARE
Nevada MEDICAID 002016380 RRMEDICARE

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