RENEWED WELLNESS AND KETAMINE CLINIC NPI 1518556075

NPI Information

NPI: 1518556075
Provider Name: RENEWED WELLNESS AND KETAMINE CLINIC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3441 45TH ST S
FARGO, ND
ZIP 58104
Phone: (701) 526-6960
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RENEWED WELLNESS AND KETAMINE CLINIC is a clinic center in Fargo, ND. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RENEWED WELLNESS AND KETAMINE CLINIC NPI is 1518556075. The provider is registered as an organization entity type.

The provider's business location address is:

3441 45TH ST S
FARGO, ND
ZIP 58104-970
Phone: (701) 526-6960

The provider's authorized official is Sadie Becher .
The authorized official title is Member/owner and has the following contact phone number (701) 866-6041.

The enumeration date for this NPI number is 1/11/2021 and was last updated on 1/11/2021.

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	261Q00000X	Clinic/Center				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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