ABUNDANT HEALTH WELLNESS CENTER INC. NPI 1699147991

NPI Information

NPI: 1699147991
Provider Name: ABUNDANT HEALTH WELLNESS CENTER, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 04D2246053

Address:
240 HUNTSVILLE RD
EUREKA SPRINGS, AR
ZIP 72632
Phone: (479) 325-9749
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ABUNDANT HEALTH WELLNESS CENTER, INC. is a health service clinic center in Eureka Springs, AR. ABUNDANT HEALTH WELLNESS CENTER, INC. NPI is 1699147991. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 HUNTSVILLE RD
EUREKA SPRINGS, AR
ZIP 72632-700
Phone: (479) 325-9749

The provider's authorized official is Dana West .
The authorized official title is President and has the following contact phone number (479) 325-9749.

The CLIA number assigned to this NPI record is 04D2246053 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2015 and was last updated on 10/26/2015.

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	133V00000X	Dietitian, Registered		1533	ARKANSAS	No
2	207ND0900X	Dermatology	Dermatopathology	E-7097	ARKANSAS	No
3	207RR0500X	Internal Medicine	Rheumatology	E-5405	ARKANSAS	No
4	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: 11/14/2023

NPI Synchronization or Removal

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