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INTEGRATED WELLNESS CLUB NPI 1811396757


NPI Information

NPI: 1811396757
Provider Name: INTEGRATED WELLNESS CLUB
Classification: Health Educator - 174H00000X
Entity Type: Organization

CLIA Number: 03D2280972

Address:
1968 MESQUITE AVE
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (480) 703-4227
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INTEGRATED WELLNESS CLUB is a health educator in Lake Havasu City, AZ. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. INTEGRATED WELLNESS CLUB NPI is 1811396757. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1968 MESQUITE AVE
LAKE HAVASU CITY, AZ
ZIP 86403-729
Phone: (480) 703-4227

The provider's authorized official is Rustom Ali .
The authorized official title is Member, Llc and has the following contact phone number (480) 703-4227.

The CLIA number assigned to this NPI record is 03D2280972 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/16/2014 and was last updated on 8/16/2014.


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
1174H00000XHealth EducatorYes

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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