WELLNESS 2000 INC. NPI 1023272077

NPI Information

  • NPI: 1023272077
  • Provider Name: WELLNESS 2000 INC.
  • Classification: Clinic/Center - 261QC1800X
  • Specialization: Corporate Health
  • Entity Type: Organization
  • CLIA Number: 38D0627726
  • Address: 1175 E MAIN ST STE 2E
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 776-9167

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)

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
1261QC1800XClinic/CenterCorporate HealthOREGONYes

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
1121555MEDICARE PINOREGON

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: 3/30/2025

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