Boden Health National Gout Centers, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BODEN HEALTH NATIONAL GOUT CENTERS, LLC

Practice address

3038 Valley Ave
Winchester, VA 22601-2637

Phone

(540) 508-0651

Fax

(540) 508-0841

NPI assigned

Jan 29, 2021

Last updated

Jan 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jade Wilt

Title

Billing Manager

Phone

(540) 508-0651

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1477144772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEEMS LN # 128",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013602",
            "telephone_number": "540-508-0651",
            "fax_number": "540-508-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3038 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012637",
            "telephone_number": "540-508-0651",
            "fax_number": "540-508-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODEN HEALTH NATIONAL GOUT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "WILT",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "540-508-0651"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Blum
• Catherine L Boatright, OTR/L
• Ramona Jeanne Bock, MSN, FNP-C
• Boden Fitness Durable Medical Equipment
• Boden Fitness System LLC
• Boden Health System LLC (Virginia Integrative Medical)
• Boden Health Urgent Care
• Body Elite Physical Therapy Inc
• Maria A Bogaert, M.D.
• Mark William Bohler Jr.

• Multi-Specialty Clinic/Center in Winchester, VA
• Providers in Winchester, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.