RIDGELINE PHYSICIAN SERVICES LLC NPI 1356874275

NPI Information

NPI: 1356874275
Provider Name: RIDGELINE PHYSICIAN SERVICES, LLC

Doing Business As: WELLSPRING HEALTH SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
15237 CREATIVITY DR
CULPEPER, VA
ZIP 22701
Phone: (540) 321-4281
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RIDGELINE PHYSICIAN SERVICES, LLC is a multi-specialty clinic center in Culpeper, VA. RIDGELINE PHYSICIAN SERVICES, LLC NPI is 1356874275. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspring Health Services.

The provider's business location address is:

15237 CREATIVITY DR
CULPEPER, VA
ZIP 22701-504
Phone: (540) 321-4281
Fax: (540) 321-4282

The provider's authorized official is Barbara J Dixon .
The authorized official title is Credentialing and has the following contact phone number (540) 321-4281.

The enumeration date for this NPI number is 4/7/2017 and was last updated on 1/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207L00000X	Anesthesiology		No
2	207LP2900X	Anesthesiology	Pain Medicine	No
3	207Q00000X	Family Medicine		No
4	207QA0000X	Family Medicine	Adolescent Medicine	No
5	261Q00000X	Clinic/Center		No
6	207QG0300X	Family Medicine	Geriatric Medicine	No
7	207VG0400X	Obstetrics & Gynecology	Gynecology	No
8	207Y00000X	Otolaryngology		No
9	261QM1300X	Clinic/Center	Multi-Specialty	Yes
10	332900000X	Non-Pharmacy Dispensing Site		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1952627119	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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