Fitness Clinic Wellness

LBN: Fitness Clinic Wellness
Fitness Clinic Wellness is an health care organization with primary practice located at 2219 Greenway Dr , Jackson MS 39204-3202. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Family. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Fitness Clinic Wellness can be contacted via phone (601) 983-7494, or through Broadwater, Barbara via phone (601) 983-7494.

Contact Information

Primary practice address
2219 Greenway Dr Jackson MS 39204-3202
Phone: (601) 983-7494
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Broadwater, Barbara
Phone: (601) 983-7494

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 871546 Mississippi

Profile Details

NPI number 1912352022
LBN Legal business name Fitness Clinic Wellness
DBA Doing business as
Authorized official Broadwater, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2016
Last updated Feb 9th, 2017 - about 8 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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