ACHIEVE WELLNESS CLINIC NPI 1306483508

NPI Information

NPI: 1306483508
Provider Name: ACHIEVE WELLNESS CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 52D1015033

Address:
1417 WINCHESTER WAY
SUITE 6
ALTOONA, WI
ZIP 54720
Phone: (715) 514-4734
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ACHIEVE WELLNESS CLINIC is a primary care clinic center in Altoona, WI. ACHIEVE WELLNESS CLINIC NPI is 1306483508. The provider is registered as an organization entity type.

The provider's business location address is:

1417 WINCHESTER WAY
SUITE 6
ALTOONA, WI
ZIP 54720-472
Phone: (715) 514-4734
Fax: (715) 832-9574

The provider's authorized official is Catherine Guilliams-chan .
The authorized official title is Chief Executive Officer and has the following contact phone number (715) 832-9467.

The CLIA number assigned to this NPI record is 52D1015033 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 3/21/2024.

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
1	261QP2300X	Clinic/Center	Primary Care			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: 5/5/2024

NPI Synchronization or Removal

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