BEDFORD WELLNESS CENTER LLC (NPI# 1649788134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649788134 |
| Entity Type | Organization |
| Organization Name | BEDFORD WELLNESS CENTER LLC |
| Other Organization Name | BEDFORD WELLNESS CENTER |
| Practice Address |
342 S Richard St Bedford PA 15522-1743 |
| Practice Telephone | 8146238414 |
| Practice Fax Number | 8146236668 |
| Mailing Telephone | 8146238414 |
| Mailing Fax Number | 8146236668 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | TRACY L LAYTON (BILLER) |
| Authorized Official Telephone | 8143105001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS009365-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018649730001 | 05 |
| Other Name | Type Code |
|---|---|
| Bedford Wellness Center | Other Name - Individual/Organization |
| Street Address |
342 S RICHARD ST |
| City | BEDFORD |
| State | PA |
| Zip Code | 15522-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750420303 | Ruth D Jones | Family Medicine | 342 S Richard St, Bedford, PA 15522-1743 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253308 | Jennifer Ann Leibfreid | Pharmacist | 654 E Pitt St, Bedford, PA 15522 | 2020-10-21 |
| 1336632579 | Jesse Wolfe | Physical Therapist | 9613 Lincoln Hwy Ste 107, Bedford, PA 15522 | 2018-06-12 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1649723529 | Gina Rievel | Physical Therapy Assistant | 320 E Watson Street, Bedford, PA 15522 | 2016-07-27 |
| 1295184356 | Megan Ann Diehl | Social Worker | 3759 Business Route 220 N., Suite 101, Bedford, PA 15522 | 2016-06-09 |
| 1275912644 | Alternative Community Resource Program | Public Health or Welfare | 3759 Business Rt. 220, Bedford, PA 15522 | 2015-05-19 |
| 1588002513 | Gennifer E Washington | Social Worker | 104 Blanche St, Bedford, PA 15522 | 2013-06-12 |
| 1942554787 | Kristen Susannah Kozak | Nurse Practitioner | Upmc Bedford Walk In Clinic, 420 E. Central Way, Bedford, PA 15522 | 2012-11-01 |
| 1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
| 1932465234 | Amberly Shaffer | Counselor | 3759 Business Rte. 220 N. Suite 101, Bedford, PA 15522 | 2012-04-11 |
| Find all providers in zip 15522 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437585197 | Gordon Edward Carruthers | Family Medicine | 14 Appleby Dr, Bedford, NY 10506 | 2013-09-25 |
| 1477799435 | First You Physician House Calls Psc | Family Medicine | 18 Alexander Ave Unit 1, Bedford, KY 40006-1114 | 2008-12-22 |
| 1396909651 | Glendal Ray Dow | Family Medicine | 1320 Hardisty Rd, Bedford, TX 76021-6522 | 2008-07-16 |
| 1770784308 | Dunn Memorial Hospital | Family Medicine | 1620 25th St, Bedford, IN 47421-5000 | 2007-05-30 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| 1750420303 | Ruth D Jones | Family Medicine | 342 S Richard St, Bedford, PA 15522-1743 | 2007-02-06 |
| 1841358876 | First You Medical Center Pllc | Family Medicine | 18 Alexander Ave, Unit 1, Bedford, KY 40006-1114 | 2006-12-04 |
| 1285708511 | Trimble Family Practice, LLC | Family Medicine | 470 Highway 421, Bedford, KY 40006-0247 | 2006-11-20 |
| 1346321262 | Deborah Brindza | Family Medicine | 22750 Rockside Rd Ste 210, Bedford, OH 44146-1576 | 2006-10-18 |
| 1982794020 | Leonard Joel Cohen | Family Medicine | 582 Blue Ridge Ave., Bedford, VA 24523 | 2006-10-12 |
| Find all providers in BEDFORD | ||||
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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.