WELLNESS FOR LIFE MEDICAL LLC (NPI# 1972011815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972011815 |
| Entity Type | Organization |
| Organization Name | WELLNESS FOR LIFE MEDICAL LLC |
| Practice Address |
3487 S 4th St Terre Haute IN 47802 |
| Mailing Address |
3495 S 4th St Terre Haute IN 47802-5501 |
| Practice Telephone | 8122204755 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |
| Authorized Official Name | ASHLEY LOWE (FINANCE MANAGER) |
| Authorized Official Telephone | 8126451892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336460237 | Wellness for Life Medical LLC | Clinic/Center | 3250 Maple Ave, Terre Haute, IN 47804-1727 | 2010-06-15 |
| Street Address |
3487 S 4TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| 1649554726 | Cathy Ann Tarrh | Pharmacist | 3603 S Us 41, Terre Haute, IN 47802 | 2011-10-06 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336460237 | Wellness for Life Medical LLC | Clinic/Center | 3250 Maple Ave, Terre Haute, IN 47804-1727 | 2010-06-15 |
| 1407153554 | Associated Physicians of Indiana LLC | Clinic/Center | 3051 S Us Highway 41, Terre Haute, IN 47802-3791 | 2011-02-24 |
| 1548560543 | Grace Lee Walker Md PC | Clinic/Center | 476 Buckeye St, Terre Haute, IN 47804-4079 | 2010-10-25 |
| 1003962549 | Illiana Internal Medicine, L.L.C. | Clinic/Center | 1332 N 7th St, Terre Haute, IN 47807-1004 | 2007-01-26 |
| 1023027190 | Union Hospital Inc | Clinic/Center | 4001 Wabash Ave, Terre Haute, IN 47803-1647 | 2006-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453626 | Calvary Assembly of God of Demotte, Inc. | Clinic/Center | 1317 15th St. Se, Demotte, IN 46310-9393 | 2020-09-30 |
| 1528683919 | Urban Family Care, LLC | Clinic/Center | 336 Augusta Ln, West Lafayette, IN 47906-8721 | 2020-06-11 |
| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on WELLNESS FOR LIFE MEDICAL LLC.
| 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.