TREE OF LIFE HEATHCARE, INC.


Address: 1968 North Ave, Columbus, GA 31901-1525
Phone: 7062250355

TREE OF LIFE HEATHCARE, INC. (NPI# 1811326655) 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) 1811326655
Entity Type Organization
Organization Name TREE OF LIFE HEATHCARE, INC.
Practice Address 1968 North Ave
Columbus
GA 31901-1525
Mailing Address Po Box 9205
Columbus
GA 31908-9205
Practice Telephone 7062250355
Practice Fax Number 7062250360
Mailing Telephone 7062250355
Mailing Fax Number 7062250360
Enumeration Date 2013-11-02
Last Update Date 2013-11-02
Authorized Official Name MR. LOWELL CLIATT (PRESIDENT / CEO)
Authorized Official Telephone 7062250355
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center RN085223 GA Ambulatory Health Care Facilities

Office Location

Street Address 1968 NORTH AVE
City COLUMBUS
State GA
Zip Code 31901-1525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174590152 Robert L. Jacobson Obstetrics & Gynecology 1968 North Ave, Columbus, GA 31901-1525 2006-03-08
1811505480 Annie Mae Lewis Nurse Practitioner 1968 North Ave, Columbus, GA 31901-1525 2020-07-20

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1750868782 Health Matters, Inc. Clinic/Center 1124 13th St, Columbus, GA 31901 2018-07-23
1447754197 Charles Chacha Maroa Babere Student in an Organized Health Care Education/Training Program Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 2018-03-19
1861912867 Demetria Laprel Mcgruder Community Health Worker 1230 2nd Ave., Columbus, GA 31901 2017-06-21
1679932016 Crystal Gayle Passmore Counselor 233 12th St Ste 334, Columbus, GA 31901 2016-02-13
1700256344 Kendra Ward Community Health Worker 1230 2nd Avenue, Columbus, GA 31901 2015-09-25
1437556701 Wendy Denise Thomas Adult Companion 1501 13th Street Suite F, Columbus, GA 31901 2014-12-02
1134523996 Danielle Elaine Berry General Practice Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 2014-10-22
1710239330 Kati Michelle Turner Pharmacist 1800 10th Avenue, Columbus, GA 31901 2012-10-05
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City COLUMBUS
Zip Code 31901

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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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