WELLMONT MEDICAL ASSOCIATES INC. NPI 1295193183

NPI Information

NPI: 1295193183
Provider Name: WELLMONT MEDICAL ASSOCIATES, INC.
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 49D2122950

Address:
410 STAGECOACH RD
BRISTOL, VA
ZIP 24201
Phone: (276) 466-0480
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WELLMONT MEDICAL ASSOCIATES, INC. is an urgent care clinic center in Bristol, VA. WELLMONT MEDICAL ASSOCIATES, INC. NPI is 1295193183. The provider is registered as an organization entity type.

The provider's business location address is:

410 STAGECOACH RD
BRISTOL, VA
ZIP 24201-359
Phone: (276) 466-0480
Fax: (276) 669-8583

The provider's authorized official is Todd J Dougan .
The authorized official title is Whs Sr Vp Finance and has the following contact phone number (423) 230-8512.

The CLIA number assigned to this NPI record is 49D2122950 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 10/18/2019.

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
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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: 4/28/2024

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