Organization
RIDGELINE PHYSICIAN SERVICES, LLC
Active
Other names
Wellspring Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J DIXON (CREDENTIALING)
(540) 321-4281
Entity
Organization
Contact information
Practice address
15237 CREATIVITY DR, CULPEPER, VA 22701-2504
(540) 321-4281
(540) 321-4282
Mailing address
302 E DAVIS ST STE 201, CULPEPER, VA 22701-2808
(543) 321-4281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207VG0400X
Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952627119
—
VA
Enumeration date
04/07/2017
Last updated
01/30/2020
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