WAGONER MEDICAL CENTER, LLC – NPI #1245458355
Family Medicine

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 is not limited by age, sex, organ system, or disease entity.

WAGONER MEDICAL CENTER, LLC is a provider located in KOKOMO, IN. NPPES has assigned the NPI number 1245458355 to WAGONER MEDICAL CENTER, LLC on April 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on May 15, 2009. 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 WAGONER MEDICAL CENTER, LLC below.

NPI Profile for
WAGONER MEDICAL CENTER, LLC

NPI Number
1245458355
Enumeration Date

(more than 19 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
WAGONER MEDICAL CENTER, LLC
Primary location
2016 W SYCAMORE
KOKOMO, IN 46901
Phone: (765) 566-3303 Fax:
Mailing address
605 E 7TH STREET
BURLINGTON, IN 46915-0038
Phone: (765) 566-3351 Fax: (765) 566-2250
Organization Subpart
No
Authorized Official
MICHELLE WAGONER
ADMINISTRATOR
Phone: (765) 566-3303
Updated
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
207Q00000X
- Family Medicine (Primary)
207R00000X
- Internal Medicine

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.