Organization Name: | WDS, LLC |
NPI Number: | 1710354519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY WAYNE FRAPPIER (OWNER) |
Mailing Address: | 209 Oxbow Cir Oxbow |
State: | ND US |
Postal Code: | 580475007 |
Phone Number: | 7012383170 |
Fax Number: | 8772035846 |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |