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180 HEALTH LIFESTYLE WELLNESS CENTERS NPI 1649815796


NPI Information

NPI: 1649815796
Provider Name: 180 HEALTH LIFESTYLE WELLNESS CENTERS

Doing Business As: 180 HEALTH MEDICAL AND WELLNESS CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 26D2178191

Address:
1936 S GLENSTONE AVE
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 827-0450
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180 HEALTH LIFESTYLE WELLNESS CENTERS is a general practice in Springfield, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee 180 HEALTH LIFESTYLE WELLNESS CENTERS NPI is 1649815796. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As 180 Health Medical And Wellness Center.

The provider's business location address is:

1936 S GLENSTONE AVE
SPRINGFIELD, MO
ZIP 65804-305
Phone: (417) 827-0450

The provider's authorized official is Tara Meek .
The authorized official title is Owner and has the following contact phone number (417) 887-0340.

The CLIA number assigned to this NPI record is 26D2178191 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2019 and was last updated on 7/28/2020.


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
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeYes

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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