Wellpointe Family Medical

LBN: Wellpointe Family Medical
Wellpointe Family Medical is an health care organization with primary practice located at 543 W Hubble Dr , Marshfield MO 65706-1532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wellpointe Family Medical can be contacted via phone (417) 859-4878, or through Ledbetter, Amy D via phone (573) 651-4488.

Contact Information

Primary practice address
543 W Hubble Dr Marshfield MO 65706-1532
Fax: (417) 859-4878
Website:
Authorized official contact:
Name: Ledbetter, Amy D

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1942475785
LBN Legal business name Wellpointe Family Medical
DBA Doing business as
Authorized official Ledbetter, Amy D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 18 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 1942475785 NPPES
Missouri MEDICAID 509460507

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