WISE MOUNTAIN MEDICINE LLC - NPI 1316512049

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261Q00000X.

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About Wise Mountain Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISE MOUNTAIN MEDICINE LLC (NPI 1316512049) is a healthcare organization registered as a clinic/center in Bend, Oregon and active in the NPI registry since May 2021. The organization lists Carlton Andrew Kelch, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1316512049

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameWISE MOUNTAIN MEDICINE LLC

Location Address335 NE REVERE AVEBend, OR 97701-4059

Mailing Address2150 Nw Hill St Apt 3Bend, OR 97703-1373 · (970) 406-1019

Phone(541) 238-7285

Organization SubpartNo

Authorized OfficialCarlton Andrew KelchCo-owner · (970) 406-1019

Enumeration DateMay 25, 2021

NPPES CertifiedMay 25, 2021

✔ NPI 1316512049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

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).

335 NE REVERE AVE, Bend, OR 97701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIRT EDWARD KIRCHMEIER D.M.D.

Dentist (General Practice)