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JASPER HEALTH WORX LLC NPI 1710403795


NPI Information

NPI: 1710403795
Provider Name: JASPER HEALTH WORX LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D2035225

Address:
819 WERNSING RD
JASPER, IN
ZIP 47546
Phone: (877) 291-6488
Get Directions

JASPER HEALTH WORX LLC is a family medicine in Jasper, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JASPER HEALTH WORX LLC NPI is 1710403795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

819 WERNSING RD
JASPER, IN
ZIP 47546-141
Phone: (877) 291-6488

The provider's authorized official is Linda Lou Goeppner .
The authorized official title is Manager and has the following contact phone number (812) 482-1041.

The CLIA number assigned to this NPI record is 15D2035225 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2017 and was last updated on 9/8/2022.


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 Medicine71003375AINDIANAYes

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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