THE WELLNESS PLAN MEDICAL CENTERS NPI 1235651381

NPI Information

  • NPI: 1235651381
  • Provider Name: THE WELLNESS PLAN MEDICAL CENTERS
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: THE WELLNESS PLAN
  • CLIA Number: 23D2150169
  • Address: 46156 WOODWARD AVE
    PONTIAC, MI
    ZIP 48342
  • Phone: (248) 897-0900

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NPI Details

THE WELLNESS PLAN MEDICAL CENTERS is a federally qualified health center (fqhc) clinic center in Pontiac, MI. THE WELLNESS PLAN MEDICAL CENTERS NPI is 1235651381. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Wellness Plan.

The provider's business location address is:

46156 WOODWARD AVE
PONTIAC, MI
ZIP 48342-033
Phone: (248) 897-0900
Fax: (248) 858-6499

The provider's authorized official is Anthony V King .
The authorized official title is Ceo & Executive Director and has the following contact phone number (313) 202-8550.

The CLIA number assigned to this NPI record is 23D2150169 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/11/2017 and was last updated on 8/13/2020.

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
1207Q00000XFamily MedicineNo
2103T00000XPsychologistNo
3122300000XDentistNo
4163WG0000XRegistered NurseGeneral PracticeNo
5207R00000XInternal MedicineNo
6363L00000XNurse PractitionerNo
7261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
11235651381OTHERPER WPS
2PENDINGOTHERMICHIGANPER WPS

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: 11/21/2025

NPI Synchronization or Removal

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