| Wilderness Road Health Services, Llc | |
|
19 Medical Loop Ste 4 Whitley City KY 42653-4382 | |
| (606) 376-2639 | |
| Not Available |
| Full Name | Wilderness Road Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19 Medical Loop Ste 4, Whitley City, Kentucky |
| Authorized Official Name and Position | Eric Robert Weber (MANAGING DIRECTOR) |
| Authorized Official Contact | 6063762639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilderness Road Health Services, Llc 19 Medical Loop Ste 4 Whitley City KY 42653-4382 Ph: (606) 376-2639 | Wilderness Road Health Services, Llc 19 Medical Loop Ste 4 Whitley City KY 42653-4382 Ph: (606) 376-2639 |
| NPI Number | 1952116550 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/11/2025 |
| Medicare PECOS PAC ID | 0749702033 |
|---|---|
| Medicare Enrollment ID | O20250317000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952116550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Eric Robert Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184121576 PECOS PAC ID: 2365878915 Enrollment ID: I20250317003065 |
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