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WELLMONT PHYSICIAN SERVICES INC NPI 1346368115


NPI Information

NPI: 1346368115
Provider Name: WELLMONT PHYSICIAN SERVICES INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D1102777

Address:
295 WHARTON LN NE
NORTON, VA
ZIP 24273
Phone: (276) 679-0321
Get Directions

WELLMONT PHYSICIAN SERVICES INC is a family medicine in Norton, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WELLMONT PHYSICIAN SERVICES INC NPI is 1346368115. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

295 WHARTON LN NE
NORTON, VA
ZIP 24273-541
Phone: (276) 679-0321
Fax: (276) 679-2267

The provider's authorized official is Cindy M Locke .
The authorized official title is Billing Administrator and has the following contact phone number (423) 224-3250.

The CLIA number assigned to this NPI record is 49D1102777 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 4/22/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11527279OTHERVIRGINIAUMWA
2CC3164MEDICARE PINVIRGINIA
365928152MEDICAIDKENTUCKY
4023305000OTHERVIRGINIAFEDERAL BLACK LUNG
5C04884MEDICARE PINVIRGINIA
6608464000OTHERVIRGINIADEPARTMENT OF LABOR
7=========013OTHERVIRGINIACHAMPUS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.