Innovative Health Clinic

LBN: Acoustic Wave Treatment Center Of Ms Llc
Innovative Health Clinic is an health care organization with primary practice located at 230 Trace Colony Park Dr Ste 1 , Ridgeland MS 39157-8851. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Acoustic Wave Treatment Center Of Ms Llc can be contacted via phone (601) 944-5585, or through Holt, Stacey L via phone (601) 944-5585.

Contact Information

Primary practice address
230 Trace Colony Park Dr Ste 1 Ridgeland MS 39157-8851
Fax:
Website:
Authorized official contact:
Name: Holt, Stacey L

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1245904150
LBN Legal business name Acoustic Wave Treatment Center Of Ms Llc
DBA Doing business as Innovative Health Clinic
Authorized official Holt, Stacey L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2021
Last updated Sep 23rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers