WELLNESS DATA SOLUTIONS LLC


Address: 2002 Hedgewood Dr, Bloomington, IL 61704-2423
Phone: 5733561880

WELLNESS DATA SOLUTIONS LLC (NPI# 1518475003) 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) 1518475003
Entity Type Organization
Organization Name WELLNESS DATA SOLUTIONS LLC
Other Organization Name WELLNESS DATA SOLUTIONS
Practice Address 2002 Hedgewood Dr
Bloomington
IL 61704-2423
Practice Telephone 5733561880
Mailing Telephone 5733561880
Enumeration Date 2018-01-18
Last Update Date 2018-01-18
Authorized Official Name DR. JOSEPH COMPANY (OWNER)
Authorized Official Telephone 5733561880
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1800X Clinic/Center
Specialization: Corporate Health
266731298 IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Wellness Data Solutions Doing Business As Name - Organization

Office Location

Street Address 2002 HEDGEWOOD DR
City BLOOMINGTON
State IL
Zip Code 61704-2423

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Taxonomy Information

Taxonomy Code 261QC1800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Corporate Health

Taxonomy Definition

Definition to come...

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Competitor

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City BLOOMINGTON
Zip Code 61704

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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