WRIGHTCHOICE HEALTHCARE LLC NPI 1023778511

NPI Information

  • NPI: 1023778511
  • Provider Name: WRIGHTCHOICE HEALTHCARE, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: 4TH STREET CLINIC
  • CLIA Number: 15D2245298
  • Address: 3 E MAIN ST
    WASHINGTON, IN
    ZIP 47501
  • Phone: (812) 486-6639

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NPI Details

WRIGHTCHOICE HEALTHCARE, LLC is a family nurse practitioner in Washington, IN. WRIGHTCHOICE HEALTHCARE, LLC NPI is 1023778511. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As 4th Street Clinic.

The provider's business location address is:

3 E MAIN ST
WASHINGTON, IN
ZIP 47501-907
Phone: (812) 486-6639
Fax: (812) 698-5420

The provider's authorized official is Jessica Ann Wright .
The authorized official title is Np and has the following contact phone number (812) 486-6639.

The CLIA number assigned to this NPI record is 15D2245298 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2021 and was last updated on 2/24/2023.

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 License Number License State Primary
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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