Wvp Medical Group, Llc
LBN: Wvp Medical Group, Llc
Wvp Medical Group, Llc is an health care organization with primary practice located at 2485 12Th St Se , Salem OR 97302-2151. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Wvp Medical Group, Llc can be contacted via phone (503) 363-8047, or through Andretta, Dean G. via phone (503) 371-7701.
Contact Information
Primary practice address
2485 12Th St Se
Salem OR 97302-2151
Phone: (503) 363-8047
Fax: (503) 363-6571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207QB0002X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1124352877 |
|---|---|
| LBN Legal business name | Wvp Medical Group, Llc |
| DBA Doing business as | |
| Authorized official | Andretta, Dean G. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 29th, 2009 |
| Last updated | Apr 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124352877 | NPPES |
| Oregon | Other | R151720 | PTAN |
| Oregon | MEDICAID | 288533 | PTAN |
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