EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC NPI 1265910442

NPI Information

NPI: 1265910442
Provider Name: EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC

Doing Business As: EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4919 JAMESTOWNE RIDGE CT
BLACK JACK, MO
ZIP 63033
Phone: (314) 269-7868
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EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC is a health service clinic center in Black Jack, MO. EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC NPI is 1265910442. The provider is registered as an organization entity type.
The provider Is Doing Business As Epic Healthcare And Wellness Solutions Llc.

The provider's business location address is:

4919 JAMESTOWNE RIDGE CT
BLACK JACK, MO
ZIP 63033-554
Phone: (314) 269-7868
Fax: (310) 929-2597

The provider's authorized official is Michelle Grimes .
The authorized official title is Owner and has the following contact phone number (636) 789-1499.

The CLIA number assigned to this NPI record is 26D2238811 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 2/7/2020.

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
1	251J00000X	Nursing Care		2017003919	MISSISSIPPI	No
2	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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