Wildfire Weight Loss

LBN: Agape Medical Group
Wildfire Weight Loss is an health care organization with primary practice located at 46 Betton St Ste 204 , Brewer ME 04412-2636. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Agape Medical Group can be contacted via phone (207) 951-0423, or through Lake, Auteum via phone (207) 951-0423.

Contact Information

Primary practice address
46 Betton St Ste 204 Brewer ME 04412-2636
Phone: (207) 951-0423
Fax: (207) 544-5107
Website:
Map and Directions
Authorized official contact:
Name: Lake, Auteum NP-C
Phone: (207) 951-0423

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1467051185
LBN Legal business name Agape Medical Group
DBA Doing business as Wildfire Weight Loss
Authorized official Lake, Auteum NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2020
Last updated Nov 28th, 2022 - 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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