Wildcreek Family Medical Center in Sparks - Family Medicine

Wildcreek Family Medical Center - NPI 1619007176

Wildcreek Family Medical Center is a Family Medicine in Sparks, Nevada. Wildcreek Family Medical Center practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wildcreek Family Medical Center is 1619007176. The last update date is 2012-12-06.

Wildcreek Family Medical Center's current location address is 2125 Green Vista Dr, Sparks, Nevada. You can contact this provider via phone number 7756736681 and fax number 7756736682. The mailing address for Wildcreek Family Medical Center is 2125 Green Vista Dr, Sparks, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wildcreek Family Medical Center
Address 2125 Green Vista Dr, Sparks, Nevada
Phone Number 7756736681
Fax Number 7756736682
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Boyd Maxine Phillis
Credentials DO
Telephone Number 7756736681

NPI Number Detail

NPI Number 1619007176
Provider Enumeration Date 2007-03-06
Last Updated Date 2012-12-06

Provider Mailing Address Detail

Address 2125 Green Vista Dr
City Sparks
State Nevada (NV)
Post Code 894318545
Phone Number 7756736681
Fax Number 7756736682

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DB9089 NV RRMEDICARE
2016380 NV --

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FAQs about Wildcreek Family Medical Center

What is the unique identifier code issued to Wildcreek Family Medical Center by the Centers for Medicare & Medicaid Services?

The Wildcreek Family Medical Center has been assigned the NPI (National Provider Identifier) 1619007176. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Wildcreek Family Medical Center located?

The Wildcreek Family Medical Center is located at 2125 Green Vista Dr, Sparks, NV 894318545.

What is Wildcreek Family Medical Center's area of expertise and its corresponding taxonomy classification?

The Wildcreek Family Medical Center's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Wildcreek Family Medical Center receive the assignment of its 1619007176 from the Centers for Medicare & Medicaid Services?

The Wildcreek Family Medical Center was issued its 1619007176 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date were the details pertaining to Wildcreek Family Medical Center last refreshed?

The information related to the Wildcreek Family Medical Center, including its address, specialty, and other relevant details, was last updated on 2012-12-06.

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