WELLMONT HEALTH SYSTEM NPI 1184812174

NPI Information

  • NPI: 1184812174
  • Provider Name: WELLMONT HEALTH SYSTEM
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: VIRGIE FAMILY MEDICAL CENTER
  • CLIA Number: 44D0966871
  • Address: 415 HIGHWAY 610 WEST SUITE 100
    VIRGIE, KY
    ZIP 41572
  • Phone: (606) 639-0855

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NPI Details

WELLMONT HEALTH SYSTEM is a clinic center in Virgie, KY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WELLMONT HEALTH SYSTEM NPI is 1184812174. The provider is registered as an organization entity type.
The provider Is Doing Business As Virgie Family Medical Center.

The provider's business location address is:

415 HIGHWAY 610 WEST SUITE 100
VIRGIE, KY
ZIP 41572
Phone: (606) 639-0855

The provider's authorized official is Christopher D. Knight .
The authorized official title is Exec. V.p. / Cfo and has the following contact phone number (423) 230-8200.

The CLIA number assigned to this NPI record is 44D0966871 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 11/12/2008.

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
1261Q00000XClinic/CenterYes

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
131000896MEDICAIDKENTUCKY

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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