LIGHTHOUSE WELLNESS INSTITUTE INC NPI 1306315056

NPI Information

NPI: 1306315056
Provider Name: LIGHTHOUSE WELLNESS INSTITUTE INC

Doing Business As: LIGHTHOUSE HEALTH AND WELLNESS

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2182 BROADWAY AVE
NORTH BEND, OR
ZIP 97459
Phone: (541) 808-9697
Get Directions

LIGHTHOUSE WELLNESS INSTITUTE INC is a health service clinic center in North Bend, OR. LIGHTHOUSE WELLNESS INSTITUTE INC NPI is 1306315056. The provider is registered as an organization entity type.
The provider Is Doing Business As Lighthouse Health And Wellness.

The provider's business location address is:

2182 BROADWAY AVE
NORTH BEND, OR
ZIP 97459
Phone: (541) 808-9697
Fax: (541) 808-9699

The provider's authorized official is Michael Patrick Bartell .
The authorized official title is Owner and has the following contact phone number (630) 205-9000.

The enumeration date for this NPI number is 11/23/2018 and was last updated on 12/7/2018.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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
1	500748374	MEDICAID	OREGON

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »