Provider Demographics
NPI:1720197940
Name:WELLINGTON HEALTHCARE BILLING, L.P.
Entity Type:Organization
Organization Name:WELLINGTON HEALTHCARE BILLING, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:EMRICK
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:770-992-0441
Mailing Address - Street 1:20 MANSELL CT E STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4814
Mailing Address - Country:US
Mailing Address - Phone:770-992-0441
Mailing Address - Fax:678-987-3877
Practice Address - Street 1:20 MANSELL CT E STE 200
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4814
Practice Address - Country:US
Practice Address - Phone:770-992-0441
Practice Address - Fax:678-987-3877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4582252Medicaid
AL009905395Medicaid
LA1458996Medicaid
GA000968393AMedicaid
4054070001Medicare NSC