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Contact Information

WELLMONT PHYSICIAN SERVICES INC
1990 HOLTON AVE E
BIG STONE GAP, VA24219-3350
 Phone: 423-224-3250
 Fax: 423-224-3257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WELLMONT PHYSICIAN SERVICES INC

NPI Number 1619095403
LBN Legal business name WELLMONT PHYSICIAN SERVICES INC
Authorized official CINDY LOCKE - (BILLING ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2007
Last updated 11/05/2010 - About 16 years ago
Identifiers
KY Medicaid 6590412000
KY Medicaid 6593109900
KY Medicaid 6594222900
KY Medicaid 7100034130
VA Other 023305008 FEDERAL BLACK LUNG
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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