Family Wellness Clinic

LBN: Family Wellness Clinic
Family Wellness Clinic is an health care organization with primary practice located at 2076 Nc Highway 42 W Ste 230 , Clayton NC 27520-5303. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Family Wellness Clinic can be contacted via phone (919) 553-5711, or through Tank, Bhavna Vaidya via phone (919) 553-5711.

Contact Information

Primary practice address
2076 Nc Highway 42 W Ste 230 Clayton NC 27520-5303
Phone: (919) 553-5711
Fax: (919) 553-5712
Website:
Map and Directions
Authorized official contact:
Name: Tank, Bhavna Vaidya Doctor of Medicine (MD)
Phone: (919) 553-5711

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 200400430 North Carolina

Profile Details

NPI number 1952799892
LBN Legal business name Family Wellness Clinic
DBA Doing business as
Authorized official Tank, Bhavna Vaidya Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2014
Last updated Dec 30th, 2014 - about 11 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 1952799892 NPPES
North Carolina MEDICAID CA891372V

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