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RECONNECT WELLNESS BRUCE LLC NPI 1396286456


NPI Information

NPI: 1396286456
Provider Name: RECONNECT WELLNESS BRUCE LLC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
131 PUBLIC SQUARE
BRUCE, MS
ZIP 38915
Phone: (166) 298-2292
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RECONNECT WELLNESS BRUCE LLC is a preferred provider organization in Bruce, MS. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. RECONNECT WELLNESS BRUCE LLC NPI is 1396286456. The provider is registered as an organization entity type.

The provider's business location address is:

131 PUBLIC SQUARE
BRUCE, MS
ZIP 38915
Phone: (166) 298-2292

The provider's authorized official is Douglas M Wright .
The authorized official title is Managing Member Reconnect Outpatien and has the following contact phone number 16626803148.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.


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
1305R00000XPreferred Provider OrganizationYes

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

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