OUR WELLNESS HUB NPI 1013410596

NPI Information

  • NPI: 1013410596
  • Provider Name: OUR WELLNESS HUB
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 17401 E 10 MILE RD
    EASTPOINTE, MI
    ZIP 48021
  • Phone: (866) 336-9355

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NPI Details

OUR WELLNESS HUB is a community health clinic center in Eastpointe, MI. OUR WELLNESS HUB NPI is 1013410596. The provider is registered as an organization entity type.

The provider's business location address is:

17401 E 10 MILE RD
EASTPOINTE, MI
ZIP 48021-256
Phone: (866) 336-9355

The provider's authorized official is Latresha Patman .
The authorized official title is Executive Director and has the following contact phone number (917) 288-4772.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 3/12/2018.

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
1261QC1500XClinic/CenterCommunity HealthYes

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: 3/30/2025

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