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WELLMONT PHYSICIAN SERVICES INC NPI 1043339385


NPI Information

NPI: 1043339385
Provider Name: WELLMONT PHYSICIAN SERVICES INC

Doing Business As: OB GYN CLINIC PC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1980 HOLTON AVE E
SUITE 301
BIG STONE GAP, VA
ZIP 24219
Phone: (276) 523-0390
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WELLMONT PHYSICIAN SERVICES INC is an obstetrics gynecology in Big Stone Gap, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WELLMONT PHYSICIAN SERVICES INC NPI is 1043339385. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ob Gyn Clinic Pc.

The provider's business location address is:

1980 HOLTON AVE E
SUITE 301
BIG STONE GAP, VA
ZIP 24219-366
Phone: (276) 523-0390
Fax: (423) 523-5514

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 enumeration date for this NPI number is 3/28/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

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
1CC3164MEDICARE PINVIRGINIA
2C09208MEDICARE PINVIRGINIA
3=========006OTHERVIRGINIACHAMPUS
465942757MEDICAIDKENTUCKY

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

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