Organization
WVP MEDICAL GROUP, LLC
Active
Parent organization
MID VALLEY IPA, INC
Other names
WVP Medical Group- Boulder Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID VALLEY IPA, INC
Authorized official
MR. DEAN ANDRETTA (CFO)
(503) 371-7701
Entity
Organization
Contact information
Practice address
2485 12TH ST. SE, SALEM, OR 97302-0000
(503) 363-8047
(503) 363-6571
Mailing address
2485 12TH ST. SE, SALEM, OR 97302-0000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up