INTERRA HEALTH INC. NPI 1538652144

NPI Information

NPI: 1538652144
Provider Name: INTERRA HEALTH INC.

Doing Business As: LIFE WELLNESS CENTER - NEENAH

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7273 STATE ROAD 76
NEENAH, WI
ZIP 54956
Phone: (920) 727-7599
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INTERRA HEALTH INC. is a primary care clinic center in Neenah, WI. INTERRA HEALTH INC. NPI is 1538652144. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Wellness Center - Neenah.

The provider's business location address is:

7273 STATE ROAD 76
NEENAH, WI
ZIP 54956-614
Phone: (920) 727-7599
Fax: (888) 892-0604

The provider's authorized official is Michelle D Ruth .
The authorized official title is Implementation & Training Coordinat and has the following contact phone number (262) 330-2827.

The enumeration date for this NPI number is 6/8/2018 and was last updated on 2/11/2021.

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	261QP2300X	Clinic/Center	Primary Care			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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