ACHIEVE WELLNESS CLINIC NPI 1306483508

NPI Information

  • NPI: 1306483508
  • Provider Name: ACHIEVE WELLNESS CLINIC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 52D1015033
  • Address: 1417 WINCHESTER WAY
    SUITE 6
    ALTOONA, WI
    ZIP 54720
  • Phone: (715) 514-4734

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NPI Details

ACHIEVE WELLNESS CLINIC is a primary care clinic center in Altoona, WI. ACHIEVE WELLNESS CLINIC NPI is 1306483508. The provider is registered as an organization entity type.

The provider's business location address is:

1417 WINCHESTER WAY
SUITE 6
ALTOONA, WI
ZIP 54720-472
Phone: (715) 514-4734
Fax: (715) 832-9574

The provider's authorized official is Catherine Guilliams-chan .
The authorized official title is Chief Executive Officer and has the following contact phone number (715) 832-9467.

The CLIA number assigned to this NPI record is 52D1015033 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 3/21/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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

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