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BEDFORD WELLNESS CENTER LLC NPI 1649788134


NPI Information

NPI: 1649788134
Provider Name: BEDFORD WELLNESS CENTER LLC

Other Name: BEDFORD WELLNESS CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
342 S RICHARD ST
BEDFORD, PA
ZIP 15522
Phone: (814) 623-8414
Get Directions

BEDFORD WELLNESS CENTER LLC is a family medicine in Bedford, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEDFORD WELLNESS CENTER LLC NPI is 1649788134. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Bedford Wellness Center.

The provider's business location address is:

342 S RICHARD ST
BEDFORD, PA
ZIP 15522-743
Phone: (814) 623-8414
Fax: (814) 623-6668

The provider's authorized official is Tracy L Layton .
The authorized official title is Biller and has the following contact phone number (814) 310-5001.

The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.


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 MedicineOS009365-LPENNSYLVANIAYes

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
10018649730001MEDICAIDPENNSYLVANIA

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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