WELLNESS AMBULATORY CARE INC. NPI 1760052963

NPI Information

NPI: 1760052963
Provider Name: WELLNESS AMBULATORY CARE INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 44D2232682

Address:
630 BROADMOR ST STE 140
MURFREESBORO, TN
ZIP 37129
Phone: (615) 281-6844
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WELLNESS AMBULATORY CARE INC. is a rehabilitation and substance use disorder clinic center in Murfreesboro, TN. WELLNESS AMBULATORY CARE INC. NPI is 1760052963. The provider is registered as an organization entity type.

The provider's business location address is:

630 BROADMOR ST STE 140
MURFREESBORO, TN
ZIP 37129-787
Phone: (615) 281-6844
Fax: (615) 281-6848

The provider's authorized official is Jay Higham .
The authorized official title is Ceo and has the following contact phone number (214) 365-6112.

The CLIA number assigned to this NPI record is 44D2232682 - other - opioid treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2021 and was last updated on 6/29/2021.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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

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