Wiregrass Wellness Center, Llc

LBN: Wiregrass Wellness Center, Llc
Wiregrass Wellness Center, Llc is an health care organization with primary practice located at 201 Regency Ct , Dothan AL 36305-1179. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Wiregrass Wellness Center, Llc can be contacted via phone (334) 673-8869, or through Strunk, David Kenton via phone (423) 215-0627.

Contact Information

Primary practice address
201 Regency Ct Dothan AL 36305-1179
Phone: (334) 673-8869
Fax: (334) 673-8851
Website:
Map and Directions
Authorized official contact:
Name: Strunk, David Kenton
Phone: (423) 215-0627

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X

Profile Details

NPI number 1013117167
LBN Legal business name Wiregrass Wellness Center, Llc
DBA Doing business as
Authorized official Strunk, David Kenton
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2007
Last updated May 21st, 2020 - about 6 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 1013117167 NPPES
Alabama MEDICAID 229432
Alabama MEDICAID 914438200
Alabama Other 1080690
Alabama Other 11498415
Alabama Other 410459675
Alabama Other 50198
Alabama Other 601701400
Alabama MEDICAID 009966175
Alabama MEDICAID 010838800
Alabama MEDICAID 188102
Alabama Other 774089000
Alabama Other 0348462
Alabama Other 1104332527
Alabama MEDICAID 407098142C
Alabama MEDICAID 529920780
Alabama Other Q6YNL
Alabama Other 51521565
Alabama Other $$$$$$$$$
Alabama Other 1013117167
Alabama Other 1811983596
Alabama Other 19C1R
Alabama Other 523314

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