WELLNESS 2000 INC. NPI 1023272077

NPI Information

NPI: 1023272077
Provider Name: WELLNESS 2000 INC.
Classification: Clinic/Center - 261QC1800X
Entity Type: Organization

Specialization: Corporate Health

CLIA Number: 38D0627726

Address:
1175 E MAIN ST STE 2E
MEDFORD, OR
ZIP 97504
Phone: (541) 776-9167
Get Directions

WELLNESS 2000 INC. is a corporate health clinic center in Medford, OR. WELLNESS 2000 INC. NPI is 1023272077. The provider is registered as an organization entity type.

The provider's business location address is:

1175 E MAIN ST STE 2E
MEDFORD, OR
ZIP 97504-457
Phone: (541) 776-9167

The provider's authorized official is Bea Berry .
The authorized official title is Owner/ceo and has the following contact phone number (541) 776-9167.

The CLIA number assigned to this NPI record is 38D0627726 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 7/17/2008.

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	261QC1800X	Clinic/Center	Corporate Health		OREGON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	121555	MEDICARE PIN	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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