Wellvana Maryland, Llc

LBN: Wellvana Maryland, Llc
Wellvana Maryland, Llc is an health care organization with primary practice located at 4840 Centennial Blvd Ste 202 , Nashville TN 37209-1792. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Wellvana Maryland, Llc can be contacted via phone (860) 501-7908, or through Wailes, Kyle via phone (401) 378-7336.

Contact Information

Primary practice address
4840 Centennial Blvd Ste 202 Nashville TN 37209-1792
Phone: (860) 501-7908
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wailes, Kyle
Phone: (401) 378-7336

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1699407502
LBN Legal business name Wellvana Maryland, Llc
DBA Doing business as
Authorized official Wailes, Kyle
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2022
Last updated Jun 29th, 2022 - about 4 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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