EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC


Address: 4919 Jamestowne Ridge Ct, Black Jack, MO 63033-4554
Phone: 3142697868

EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC (NPI# 1265910442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265910442
Entity Type Organization
Organization Name EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC
Other Organization Name EPIC HEALTHCARE AND WELLNESS SOLUTIONS LLC
Practice Address 4919 Jamestowne Ridge Ct
Black Jack
MO 63033-4554
Mailing Address 1551 Wall St
Saint Charles
MO 63303-3539
Practice Telephone 3142697868
Practice Fax Number 3109292597
Mailing Telephone 6367891499
Mailing Fax Number 3109292597
Enumeration Date 2018-07-31
Last Update Date 2020-02-07
Authorized Official Name MICHELLE GRIMES (OWNER)
Authorized Official Telephone 6367891499
Authorized Official Credential FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251J00000X Nursing Care 2017003919 MS Agencies
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
EPIC Healthcare and Wellness Solutions LLC Doing Business As Name - Organization

Office Location

Street Address 4919 JAMESTOWNE RIDGE CT
City BLACK JACK
State MO
Zip Code 63033-4554

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City BLACK JACK
Zip Code 63033

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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