Healthwise 360 Llc

LBN: Healthwise 360 Llc
Healthwise 360 Llc is an health care organization with primary practice located at 8 Stonebridge Blvd Ste M , Jackson TN 38305-2178. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Healthwise 360 Llc can be contacted via phone (731) 267-2836, or through Gutgsell, Kristie via phone (731) 736-4300.

Contact Information

Primary practice address
8 Stonebridge Blvd Ste M Jackson TN 38305-2178
Phone: (731) 267-2836
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gutgsell, Kristie
Phone: (731) 736-4300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1376084814
LBN Legal business name Healthwise 360 Llc
DBA Doing business as
Authorized official Gutgsell, Kristie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2017
Last updated Sep 9th, 2019 - about 6 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 1376084814 NPPES
Tennessee MEDICAID Q027339

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