Living Well Christian Family Clinic, Llc
LBN: Living Well Christian Family Clinic, Llc
Living Well Christian Family Clinic, Llc is an health care organization with primary practice located at 575 Lester Ave Ste 100 , Onalaska WI 54650-8695. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Living Well Christian Family Clinic, Llc can be contacted via phone (608) 783-1452, or through Lipps, Kami Jo via phone (608) 783-1452.
Contact Information
Primary practice address
575 Lester Ave Ste 100
Onalaska WI 54650-8695
Phone: (608) 783-1452
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1447428719 |
|---|---|
| LBN Legal business name | Living Well Christian Family Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Lipps, Kami Jo MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2008 |
| Last updated | Oct 7th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447428719 | NPPES |
| Wisconsin | MEDICAID | 42253100 |
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