NPIMap

Organization Active NPI

Wellmont Physician Services Inc

Doing business as dba Elkhorn City Clinic

  • Family Medicine Physician
  • Elkhorn City, KY
National Provider Identifier
1942482849
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLMONT PHYSICIAN SERVICES INC
Doing business as
dba Elkhorn City Clinic
Practice address
905 W Russell St
Elkhorn City, KY 41522-7071
Phone
(606) 754-4158
Fax
(606) 754-5452
NPI assigned
Dec 3, 2007
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Cindy M Locke Sr., CPC, CCS-P
Title
Billing Administrator
Phone
(423) 224-3250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X KY Primary
General Practice Physician 208D00000X KY

Addresses

Primary practice location

905 W Russell St
Elkhorn City, KY 41522-7071

Mailing address

PO Box 37024
Baltimore, MD 21297-3024
Phone (423) 224-3250

Other names 1

  • dba Elkhorn City Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wellmont Physician Services Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1942482849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37024",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973024",
            "telephone_number": "423-224-3250",
            "fax_number": "423-224-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W RUSSELL ST",
            "city": "ELKHORN CITY",
            "state": "KY",
            "postal_code": "415227071",
            "telephone_number": "606-754-4158",
            "fax_number": "606-754-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "423-224-3250",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CPC, CCS-P"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Elkhorn City Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhorn City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.