Organization
WRIGHT STATE PHYSICIANS INC
Active
Parent organization
WRIGHT STATE PHYSICIANS INC
Other names
Univeristy Medical Services Association
Organization subpart
Yes
Provider details
NPI number
Legal business name
WRIGHT STATE PHYSICIANS INC
Authorized official
CHERYL SAVAKINAS (CREDENTIALING COORDINATOR)
(937) 245-7150
Entity
Organization
Contact information
Practice address
2200 PHILADELPHIA DR, SUITE 651, DAYTON, OH 45406-1840
(937) 208-3999
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
821388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0914443
—
OH
01
—
1114920329
PARENT NPI
—
01
—
1295977254
DME-SUBGROUP NPI
—
01
—
WR9256604
PARENT LBN MEDICARE GROUP NUMBER
—
Enumeration date
05/09/2008
Last updated
12/19/2013
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