Wildwood L.L.C

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WILDWOOD L.L.C

Practice address

614 French Point Dr
Bonners Ferry, ID 83805-5964

Phone

(760) 885-0700

NPI assigned

Jun 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Victoria Rogers

Title

Owner/Operator

Phone

(760) 885-0700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1477904381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 FRENCH POINT DR",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055964",
            "telephone_number": "760-885-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 FRENCH POINT DR",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055964",
            "telephone_number": "760-885-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "760-885-0700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Medrano Walker, LPC
• Madicyn Weddington
• Kathryn L Wenzel, LCSW
• Robert B. Wenzel, LCPC
• Wild Life Community Counseling PLLC
• Henry SK Willis IV, D.D.S.
• John Willis
• Stuart Kendall Willis III, MD
• William Lamont Worden, MD
• Kelli L Wright, LCSW

• Non-emergency Medical Transport (VAN) in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.