Live Well Medical Clinic & Spa

LBN: Live Well Medical Clinic & Spa
Live Well Medical Clinic & Spa is an health care organization with primary practice located at 117 W Commercial Ave , Monterey TN 38574-1107. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Live Well Medical Clinic & Spa can be contacted via phone (931) 839-6642, or through Mcintosh, Brenda Lee via phone (931) 839-6642.

Contact Information

Primary practice address
117 W Commercial Ave Monterey TN 38574-1107
Phone: (931) 839-6642
Fax: (931) 839-6643
Website:
Map and Directions
Authorized official contact:
Name: Mcintosh, Brenda Lee FNP-BC
Phone: (931) 839-6642

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1902208903
LBN Legal business name Live Well Medical Clinic & Spa
DBA Doing business as
Authorized official Mcintosh, Brenda Lee FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2014
Last updated Jul 21st, 2022 - about 2 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 1902208903 NPPES
Tennessee MEDICAID Q007973

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