OF THE EARTH WELLNESS


Address: 6236 S 10th St, Phoenix, AZ 85042-4312
Phone: 7578711880

OF THE EARTH WELLNESS (NPI# 1831528207) 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) 1831528207
Entity Type Organization
Organization Name OF THE EARTH WELLNESS
Practice Address 6236 S 10th St
Phoenix
AZ 85042-4312
Practice Telephone 7578711880
Mailing Telephone 7578711880
Enumeration Date 2013-11-06
Last Update Date 2013-11-06
Authorized Official Name DR. DAVID LONGEVAL HAMILTON JR. (NATUROPATHIC MEDICAL DOCTOR)
Authorized Official Telephone 7578711880
Authorized Official Credential N.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 099.0099012 VT Laboratories

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporation Of The Earth Wellness LLC 10715 Shopton Road W , Charlotte, NC 28278
Virginia Business Entity Of The Earth Wellness LLC 10715 SHOPTON RD WEST , CHARLOTTE, NC 28278

Office Location

Street Address 6236 S 10TH ST
City PHOENIX
State AZ
Zip Code 85042-4312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174954986 David Longeval Hamilton Jr. Naturopath 6236 S 10th St, Phoenix, AZ 85042-4312 2013-12-04

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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Competitor

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City PHOENIX
Zip Code 85042

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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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