Wildwood Medical, A Medical Corp.

LBN: Wildwood Medical, A Medical Corp.
Wildwood Medical, A Medical Corp. is an health care organization with primary practice located at 11244 Pleasant Valley Rd , Penn Valley CA 95946. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wildwood Medical, A Medical Corp. can be contacted via phone (530) 432-4937, or through Backus, Ginny L. via phone (530) 477-6830.

Contact Information

Primary practice address
11244 Pleasant Valley Rd Penn Valley CA 95946
Phone: (530) 432-4937
Fax: (530) 432-5261
Website:
Map and Directions
Authorized official contact:
Name: Backus, Ginny L.
Phone: (530) 477-6830

Health care specialties

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

Profile Details

NPI number 1013964220
LBN Legal business name Wildwood Medical, A Medical Corp.
DBA Doing business as
Authorized official Backus, Ginny L.
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Jul 29th, 2009 - about 16 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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