WELLNESS FOR LIFE


Address: 1 Pirate Pl, Charlestown, IN 47130
Phone: 8126451892

WELLNESS FOR LIFE (NPI# 1619446127) 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) 1619446127
Entity Type Organization
Organization Name WELLNESS FOR LIFE
Practice Address 1 Pirate Pl
Charlestown
IN 47130
Mailing Address 1 Pirate Pl
Charlestown
IN 47111-1646
Practice Telephone 8126451892
Enumeration Date 2018-11-14
Last Update Date 2018-11-14
Authorized Official Name ASHLEY LOWE (FINANCE MANAGER)
Authorized Official Telephone 8126451892
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235601105 Wellness for Life Clinic/Center 3000 S 9th St Ste B, Lafayette, IN 47909-6702 2018-12-17
1174092688 Wellness for Life Clinic/Center 2315 Allison Ln, Jeffersonville, IN 47130-5818 2018-11-14
1548743552 Wellness for Life Clinic/Center 6448 W Ohio St, Indianapolis, IN 46214-3973 2018-09-14
1598270746 Wellness for Life Clinic/Center 1749 State Road 46, Nashville, IN 47448 2017-12-11
1770098014 Wellness for Life Clinic/Center 411 S 5th St, Chesterton, IN 46304-2201 2017-12-08
1043763451 Wellness for Life Clinic/Center 3720 Hornaday Rd, Brownsburg, IN 46112-1958 2016-08-02
1073066866 Wellness for Life Clinic/Center 8688 Broadway, Merrillville, IN 46410-7034 2016-07-27
1225581010 Wellness for Life Clinic/Center 709 Stafford Rd, Plainfield, IN 46168-2269 2016-07-27
1548713332 Wellness for Life Clinic/Center 630 Broadway St Ste 2a, Madison, IN 47250-3310 2016-07-27
1033662820 Wellness for Life Clinic/Center 630 W State Highway 46, Spencer, IN 47460-6439 2016-07-27

Other Data Sources

Entity Type Entity Name Entity Address
Vermont Business Registrations WELLNESS FOR LIFE Sheldon, VT
Colorado Business Entities Wellness For Life Colorado, Inc. 44 Cook St., Suite 100, Denver, CO 80907
Washington State Corporations WELLNESS FOR LIFE LLC 45827 Se 137th St, North Bend, WA 98045-8863
Washington State Corporations WELLNESS FOR LIFE PLLP 3115 T Ave, Anacortes, WA 98221-3472
Colorado Business Entities Wellness for Life, LLC 12143 Dahlia Drive, Thornton, CO 80241
New York State Corporations WELLNESS FOR LIFE, LLC 986 Grant Street, Buffalo, New York 14207
Massachusetts Corporations WELLNESS FOR LIFE, LLC 113 Fisher Rd., Barre, MA 01005

Office Location

Street Address 1 PIRATE PL
City CHARLESTOWN
State IN
Zip Code 47130

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1417454638 Jason Allen Social Worker 101 Noahs Ln, Jeffersonville, IN 47130 2018-04-13
1508374299 Kelsey Petty Social Worker 101 Noahs Lane, Jeffersonville, IN 47130 2018-01-16
1336658095 Jenkins Podiatry PC Podiatrist 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 2017-09-26
1831618602 Alyssa Marie Elliott Physical Therapist 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 2017-09-13
1346767084 Daniel Whonsetler Physician Assistant Clark Memorial Hospital, 1220 Missouri Ave, Jeffersonville, IN 47130 2017-08-24
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City CHARLESTOWN
Zip Code 47130

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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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