HOLISTIC HEALING AND WELLNESS CENTER, P.C. (NPI# 1588183420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588183420 |
Entity Type | Organization |
Organization Name | HOLISTIC HEALING AND WELLNESS CENTER, P.C. |
Practice Address |
1915 E 10th St Douglas AZ 85607-2407 |
Practice Telephone | (520) 364-6463 |
Practice Fax Number | 5203646503 |
Mailing Telephone | 5203646463 |
Mailing Fax Number | 5203646503 |
Enumeration Date | 2017-09-12 |
Last Update Date | 2017-09-12 |
Authorized Official Name | DR. JAY DANIEL ZAMORA (CEO) |
Authorized Official Telephone | 5203646463 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
7867 | AZ | Ambulatory Health Care Facilities |
Street Address |
1915 E 10TH ST |
City | DOUGLAS |
State | AZ |
Zip Code | 85607-2407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
1508001660 | Douglas Dental, LLC | Dentist | 1915 E 10th St, Douglas, AZ 85607-2407 | 2008-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
1174736177 | Suzanne Marie Crase | Pharmacist | 90 Fifth St., Douglas, AZ 85607 | 2007-05-07 |
Find all providers in zip 85607 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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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.