INNOVATIVE WELLNESS GROUP LLC


Address: 1640 Cornwall Rd, Lebanon, PA 17042-7405
Phone: 7172722816

INNOVATIVE WELLNESS GROUP LLC (NPI# 1770057929) 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) 1770057929
Entity Type Organization
Organization Name INNOVATIVE WELLNESS GROUP LLC
Practice Address 1640 Cornwall Rd
Lebanon
PA 17042-7405
Practice Telephone 7172722816
Mailing Telephone 7172722816
Enumeration Date 2019-01-21
Last Update Date 2019-01-21
Authorized Official Name PHILIP YODER (OWNER)
Authorized Official Telephone 7172722816
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 1640 CORNWALL RD
City LEBANON
State PA
Zip Code 17042-7405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023676384 Sandra L Pistone Registered Nurse 905 S. 2nd Ave, Lebanon, PA 17042 2019-06-03
1154848414 Kihc, LLC Home Health 900-c Centerville Road, Suite C, Lancaster, PA 17042 2017-08-28
1316301724 Good Samaritan Physician Services Radiology 844 Tuck Street, Lebanon, PA 17042 2016-04-12
1609265883 Ashley Hess Behavioral Analyst 15th South 9th Street, Lebanon, PA 17042 2015-01-12
1932504727 Anthony Salvadore Petrole Physician Assistant 252 4th Street, Lebanon, PA 17042 2014-10-23
1801209713 Matthew Johnson Family Medicine 920 Church Street, Lebanon, PA 17042 2014-06-09
1437414505 Odalys Gonzalez-rodriguez Physical Therapist 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 2012-07-05
1750677175 Anita Lyn Stokes Speech-Language Pathologist 1126 Walnut Street, Lebanon, PA 17042 2011-06-23
1205126497 Karey Lynn Foote Pharmacist 415 S. 9th St, Lebanon, PA 17042 2011-04-09
1013227685 T. W. Ponessa and Associates Counseling Services, Inc. Community/Behavioral Health 101 E. Evergreen Road, Lebanon, PA 17042 2010-10-18
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1528304664 Samaritan Health Services, Inc Clinic/Center 35 Mullins Dr, Suite 3, Lebanon, OR 97355-3985 2012-12-18

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1558833780 Bucks Behavioral Healthcare, LLC Clinic/Center 81 Big Oak Rd, Suite 102, Morrisville, PA 19067 2018-12-28
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Competitor

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City LEBANON
Zip Code 17042

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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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