Balanced Vitality Llc

LBN: Balanced Vitality Llc
Balanced Vitality Llc is an health care organization with primary practice located at 1125 E 2Nd St , Casper WY 82601-2903. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Balanced Vitality Llc can be contacted via phone (307) 577-4225, or through Porter, Debbie via phone (307) 577-4225.

Contact Information

Primary practice address
1125 E 2Nd St Casper WY 82601-2903
Phone: (307) 577-4225
Fax: (307) 577-4229
Website:
Map and Directions
Authorized official contact:
Name: Porter, Debbie
Phone: (307) 577-4225

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1306574520
LBN Legal business name Balanced Vitality Llc
DBA Doing business as
Authorized official Porter, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2022
Last updated Aug 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306574520 NPPES
Wyoming MEDICAID 1477894756
Wyoming MEDICAID 1013083740

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