Wellcare Family Medicine Pc

LBN: Wellcare Family Medicine Pc
Wellcare Family Medicine Pc is an health care organization with primary practice located at 9757 Westpoint Dr , Indianapolis IN 46256-3341. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Wellcare Family Medicine Pc can be contacted via phone (317) 577-2779, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
9757 Westpoint Dr Indianapolis IN 46256-3341
Phone: (317) 577-2779
Fax: (317) 577-2546
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X Indiana

Profile Details

NPI number 1558444885
LBN Legal business name Wellcare Family Medicine Pc
DBA Doing business as Wellcare Family Medicine Pc
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558444885 NPPES
Other 1535559 OTHER ID NUMBER-COMMERCIAL NUMBER

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