ESSENTIAL HEALTH & WELLNESS RALEIGH NPI 1003326802

NPI Information

NPI: 1003326802
Provider Name: ESSENTIAL HEALTH & WELLNESS RALEIGH
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D2183138

Address:
2011 FALLS VALLEY DR STE 111
RALEIGH, NC
ZIP 27615
Phone: (919) 208-2314
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ESSENTIAL HEALTH & WELLNESS RALEIGH is a primary care clinic center in Raleigh, NC. ESSENTIAL HEALTH & WELLNESS RALEIGH NPI is 1003326802. The provider is registered as an organization entity type.

The provider's business location address is:

2011 FALLS VALLEY DR STE 111
RALEIGH, NC
ZIP 27615-451
Phone: (919) 208-2314

The provider's authorized official is Danielle Lois Dehaven .
The authorized official title is Chief Operations Officer and has the following contact phone number (919) 208-2314.

The CLIA number assigned to this NPI record is 34D2183138 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2017 and was last updated on 10/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	2014-00386	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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