NORTHSTAR WELLNESS LLC (NPI# 1790181360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790181360 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR WELLNESS LLC |
| Practice Address |
810 E Main St Richmond MO 64085-1908 |
| Practice Telephone | 8166825819 |
| Practice Fax Number | 8556825819 |
| Mailing Telephone | 8166825819 |
| Mailing Fax Number | 8556825819 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Authorized Official Name | MR. RAYMOND WALLER SMITH (MEMBER) |
| Authorized Official Telephone | 8166825819 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
2011011136 | MO | Ambulatory Health Care Facilities |
| Street Address |
810 E MAIN ST |
| City | RICHMOND |
| State | MO |
| Zip Code | 64085-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447656137 | John Michael Furgeson | Massage Therapist | 810 E Main St, Richmond, MO 64085-1908 | 2014-11-07 |
| 1053712596 | Raymond Waller Smith | Massage Therapist | 810 E Main St, Richmond, MO 64085-1908 | 2014-09-15 |
| 1508291030 | Richmond Chiropractic Center | Chiropractor | 810 E Main St, Richmond, MO 64085-1908 | 2013-09-03 |
| 1588970669 | Shoal Creek Valley Chiropractic PC | Chiropractor | 810 E Main St, Richmond, MO 64085-1908 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855027 | Martin Lee Mccrary | Counselor | 108 Wn Main, Richmond, MO 64085 | 2019-01-22 |
| 1265885792 | Special Needs Services of Ray County | Case Manager/Care Coordinator | 810 E Main Street, Richmond, MO 64085 | 2016-07-20 |
| 1669849170 | Sandra Gayle Johnson | Speech-Language Pathologist | 749 Driskill Drive, Richmond, MO 64085 | 2015-09-01 |
| 1386059533 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 320 E Lexington St, Richmond, MO 64085 | 2014-06-26 |
| 1114357761 | Duffett Holdings LLC | Pharmacy | 508 Johnny Walker Lane, Suite B, Richmond, MO 64085 | 2013-11-18 |
| 1841319928 | Jeanne M De Motte | Emergency Medicine | 904 Wollard Blvd., Richmond, MO 64085 | 2007-03-28 |
| 1285785022 | Steven Wesley Fawks | Dentist | 205 Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1215088968 | Steven W Fawks Dds PC | Dentist | 205 S Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1891892980 | Ray County Health Department | Public Health or Welfare | 820 East Lexington Street, Richmond, MO 64085 | 2006-09-20 |
| 1275557878 | Jamie Sue Honeycutt | Family Medicine | 420 Wollard Blvd, Richmond, MO 64085 | 2006-07-27 |
| Find all providers in zip 64085 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1174994388 | Francis H Mcmullan Md Inc | Clinic/Center | 1500 Westbrook Ct, 1144, Richmond, VA 23227-3365 | 2015-10-14 |
| 1548636434 | Ambulatory Services | Clinic/Center | 17410 Browning Trace Ln, Richmond, TX 77407-2659 | 2015-08-14 |
| 1003202185 | O'dell Chiropractic Center, LLC | Clinic/Center | 2007 Merchant Dr, Richmond, KY 40475-8167 | 2015-04-15 |
| 1740607456 | The Stuart House | Clinic/Center | 3067 Belfast Way, Richmond, CA 94806-2628 | 2014-03-20 |
| 1336437409 | Commonwealth Nursing Network | Clinic/Center | 3007 W Grace St, Richmond, VA 23221-1410 | 2011-07-11 |
| 1609169408 | Richmond City Health District | Clinic/Center | 400 Easy Cary Street, Richmond, VA 23219 | 2011-05-26 |
| 1043469083 | Concentra Health Services, Inc. | Clinic/Center | 9211 Burge Ave., Richmond, VA 23237 | 2008-09-15 |
| Find all providers in RICHMOND | ||||
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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.