Iv Hydration Health & Wellness

LBN: Iv Hydration Health & Wellness
Iv Hydration Health & Wellness is an health care organization with primary practice located at 617 Cherry St Ste A , Macon GA 31201-2880. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Iv Hydration Health & Wellness can be contacted via phone (478) 342-2400, or through Jackson, Shacarya Katoria via phone (478) 342-2400.

Contact Information

Primary practice address
617 Cherry St Ste A Macon GA 31201-2880
Phone: (478) 342-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Shacarya Katoria Nurse Practitioner (NP)
Phone: (478) 342-2400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1063294155
LBN Legal business name Iv Hydration Health & Wellness
DBA Doing business as
Authorized official Jackson, Shacarya Katoria Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2023
Last updated Oct 16th, 2023 - about last year

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 1063294155 NPPES
Georgia MEDICAID 1982317764

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