Advanced Wellness Infusion Center, Llc

LBN: Advanced Wellness Infusion Center, Llc
Advanced Wellness Infusion Center, Llc is an health care organization with primary practice located at 5805 E Columbus Way , Wasilla AK 99654-7831. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Advanced Wellness Infusion Center, Llc can be contacted via phone (907) 929-4825, or through Eastman, Nathaniel L via phone (907) 980-1186.

Contact Information

Primary practice address
5805 E Columbus Way Wasilla AK 99654-7831
Phone: (907) 929-4825
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eastman, Nathaniel L Doctor of Medicine (MD)
Phone: (907) 980-1186

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1366112856
LBN Legal business name Advanced Wellness Infusion Center, Llc
DBA Doing business as
Authorized official Eastman, Nathaniel L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2021
Last updated Mar 7th, 2023 - about 3 years 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 1366112856 NPPES
Alaska Other MEDS5780 STATE OF ALASKA MEDICAL LICENSE

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