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HEART AND WELLNESS INSTITUTE NPI 1194935387


NPI Information

NPI: 1194935387
Provider Name: HEART AND WELLNESS INSTITUTE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5043 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 719-5939
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HEART AND WELLNESS INSTITUTE is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HEART AND WELLNESS INSTITUTE NPI is 1194935387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5043 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546-724
Phone: (616) 719-5939
Fax: (616) 719-5933

The provider's authorized official is Barbara Annette Warren .
The authorized official title is Admin / Office Mgr and has the following contact phone number (616) 719-5939.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 4/12/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist4301080691MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11194935387OTHERUNITED HEALTHCARE
2H73511MEDICARE UPINMICHIGAN
3060D120890OTHERMICHIGANBLUE CROSS BLUE SHIELD
45199674MEDICAIDMICHIGAN
5DG1222OTHERRR / RAILROAD MEDICARE
60P46910OTHERCOFINITY / PPOM

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

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