Gatherwell, Pllc

LBN: Gatherwell, Pllc
Gatherwell, Pllc is an health care organization with primary practice located at 17565 Central Ave Ne Ste 220 , Ham Lake MN 55304-2230. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Gatherwell, Pllc can be contacted via phone (612) 636-1553, or through Brown, Sarah Marie via phone (612) 636-1553.

Contact Information

Primary practice address
17565 Central Ave Ne Ste 220 Ham Lake MN 55304-2230
Phone: (612) 636-1553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Sarah Marie BSN, RN, LNHA
Phone: (612) 636-1553

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1649855479
LBN Legal business name Gatherwell, Pllc
DBA Doing business as
Authorized official Brown, Sarah Marie BSN, RN, LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2021
Last updated Mar 12th, 2021 - about 5 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 1649855479 NPPES
Minnesota Other 24D2188982 CLIA ID

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