| Innovative Wound Care Inc | |
|
5150 N 6th St Ste 104 Fresno CA 93710-7505 | |
| (559) 222-5362 | |
| Not Available |
| Full Name | Innovative Wound Care Inc |
|---|---|
| Speciality | General Practice |
| Location | 5150 N 6th St Ste 104, Fresno, California |
| Authorized Official Name and Position | Bill Redmond (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5592225362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Wound Care Inc 5150 N 6th St Ste 104 Fresno CA 93710-7505 Ph: () - | Innovative Wound Care Inc 5150 N 6th St Ste 104 Fresno CA 93710-7505 Ph: (559) 222-5362 |
| NPI Number | 1558101022 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 7911443650 |
|---|---|
| Medicare Enrollment ID | O20240718001677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558101022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Billy G Redmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518937150 PECOS PAC ID: 3870625072 Enrollment ID: I20100723000669 |
| Provider Name | Lindsay A Sherfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891401485 PECOS PAC ID: 9234583931 Enrollment ID: I20230928004059 |
| Provider Name | Hollie Ann Shreve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366121485 PECOS PAC ID: 1759814940 Enrollment ID: I20241025003515 |
| Provider Name | Kaysee G Clindinin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487477592 PECOS PAC ID: 6800323692 Enrollment ID: I20241217004356 |
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