Wildwood Physician Services, Llc

LBN: Wildwood Physician Services, Llc
Wildwood Physician Services, Llc is an health care organization with primary practice located at 3700 S Main St , Blacksburg VA 24060-7017. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Wildwood Physician Services, Llc can be contacted via phone (540) 951-1111, or through Falk, Lisha C via phone (337) 609-1221.

Contact Information

Primary practice address
3700 S Main St Blacksburg VA 24060-7017
Phone: (540) 951-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Falk, Lisha C
Phone: (337) 609-1221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1629560917
LBN Legal business name Wildwood Physician Services, Llc
DBA Doing business as
Authorized official Falk, Lisha C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2018
Last updated Mar 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629560917 NPPES
Virginia MEDICAID I097

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