A Community Wellness Clinic Llc

LBN: A Community Wellness Clinic Llc
A Community Wellness Clinic Llc is an health care organization with primary practice located at 2405 E 17Th Ave Ste 113 , Spokane WA 99223-5122. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. A Community Wellness Clinic Llc can be contacted via phone (509) 720-8516, or through Traugott, Kerry Lee via phone (509) 720-8516.

Contact Information

Primary practice address
2405 E 17Th Ave Ste 113 Spokane WA 99223-5122
Phone: (509) 720-8516
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Traugott, Kerry Lee DNP
Phone: (509) 720-8516

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1063056497
LBN Legal business name A Community Wellness Clinic Llc
DBA Doing business as
Authorized official Traugott, Kerry Lee DNP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2019
Last updated May 13th, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063056497 NPPES
Other 1396118469 NPI

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