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BASALT FAMILY WELLNESS LLC NPI 1154198653


NPI Information

NPI: 1154198653
Provider Name: BASALT FAMILY WELLNESS, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
700 E MOUNTAIN VIEW AVE STE 505
ELLENSBURG, WA
ZIP 98926
Phone: (509) 426-3750
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BASALT FAMILY WELLNESS, LLC is a clinic center in Ellensburg, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BASALT FAMILY WELLNESS, LLC NPI is 1154198653. The provider is registered as an organization entity type.

The provider's business location address is:

700 E MOUNTAIN VIEW AVE STE 505
ELLENSBURG, WA
ZIP 98926-802
Phone: (509) 426-3750
Fax: (509) 426-3760

The provider's authorized official is Macy A Schorno .
The authorized official title is Owner and has the following contact phone number (509) 306-1898.

The enumeration date for this NPI number is 12/6/2023 and was last updated on 4/19/2024.


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
1261Q00000XClinic/CenterYes
2261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
3261QH0100XClinic/CenterHealth ServiceNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QP2300XClinic/CenterPrimary CareNo

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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