Active Health And Wellness Center

LBN: Active Health And Wellness Center
Active Health And Wellness Center is an health care organization with primary practice located at 3027 Mishawaka Ave , South Bend IN 46615-2347. The organization recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as the primary health care specialty. Active Health And Wellness Center can be contacted via phone (574) 259-9355, or through Meyers, Lisa via phone (574) 259-9355.

Contact Information

Primary practice address
3027 Mishawaka Ave South Bend IN 46615-2347
Phone: (574) 259-9355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Meyers, Lisa
Phone: (574) 259-9355

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 51000262A Indiana

Profile Details

NPI number 1427179787
LBN Legal business name Active Health And Wellness Center
DBA Doing business as
Authorized official Meyers, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Mar 31st, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427179787 NPPES
Indiana MEDICAID 200253400

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