WIDE RANGE OF RESOURCES,IINC. – NPI #1861680696
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

WIDE RANGE OF RESOURCES,IINC. is an AHC clinic located in MILLEDGEVILLE, GA. NPPES has assigned the NPI number 1861680696 to WIDE RANGE OF RESOURCES,IINC. on October 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WIDE RANGE OF RESOURCES,IINC. below.

NPI Profile for
WIDE RANGE OF RESOURCES,IINC.

NPI Number
1861680696
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WIDE RANGE OF RESOURCES,IINC.
Primary location
1776 N JEFFERSON ST NE STE B
MILLEDGEVILLE, GA 31061-2292
Phone: (478) 451-3112 Fax: (478) 451-0626
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FREZALIA OLIVER
CLINICAL DIRECTOR
Phone: (478) 451-3112
Updated
Identifiers

Identifiers for WIDE RANGE OF RESOURCES,IINC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERGROUP PINGAGRP7368
MEDICAIDGA139858482A
MEDICAIDGA139858482B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
GA CSW000658

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.