GRANT COUNTY WELLNESS CENTER LLC NPI 1164713103

NPI Information

NPI: 1164713103
Provider Name: GRANT COUNTY WELLNESS CENTER LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
99 S. MAIN ST.
DRY RIDGE, KY
ZIP 41035
Phone: (859) 325-5655
Get Directions

GRANT COUNTY WELLNESS CENTER LLC is a pain clinic center in Dry Ridge, KY. GRANT COUNTY WELLNESS CENTER LLC NPI is 1164713103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

99 S. MAIN ST.
DRY RIDGE, KY
ZIP 41035
Phone: (859) 325-5655
Fax: (859) 823-0530

The provider's authorized official is Ernest William Singleton .
The authorized official title is R.n./c.o.o. and has the following contact phone number (859) 325-5655.

The enumeration date for this NPI number is 4/25/2011 and was last updated on 9/14/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		26944		No
2	261QP3300X	Clinic/Center	Pain	0788501.06	KENTUCKY	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	208VP0000X	OTHER	KENTUCKY	TAXONOMY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »