Hoosier Wellness Providers, Llc

LBN: Hoosier Wellness Providers, Llc
Hoosier Wellness Providers, Llc is an health care organization with primary practice located at 637 S Walker St , Bloomington IN 47403-2176. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Hoosier Wellness Providers, Llc can be contacted via phone (561) 635-2400, or through Vesselov, Kirill via phone (561) 635-2400.

Contact Information

Primary practice address
637 S Walker St Bloomington IN 47403-2176
Phone: (561) 635-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vesselov, Kirill
Phone: (561) 635-2400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1730753294
LBN Legal business name Hoosier Wellness Providers, Llc
DBA Doing business as
Authorized official Vesselov, Kirill
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2021
Last updated Jun 18th, 2024 - about 6 months 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 1730753294 NPPES
Indiana Other 1467936070 DAWN JOHNSON
Indiana Other 1497891840 DAWN JOHNSON

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