Mission Haven Rediemed

LBN: Mission Haven Rediemed
Mission Haven Rediemed is an health care organization with primary practice located at 6108 Shorewood Dr , Arlington TX 76016-2649. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mission Haven Rediemed can be contacted via phone (817) 435-2812, or through Provence, Abi Mikkel via phone (817) 992-9791.

Contact Information

Primary practice address
6108 Shorewood Dr Arlington TX 76016-2649
Phone: (817) 435-2812
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Provence, Abi Mikkel APRN, FNP-BC, FNP-C
Phone: (817) 992-9791

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1558062059
LBN Legal business name Mission Haven Rediemed
DBA Doing business as
Authorized official Provence, Abi Mikkel APRN, FNP-BC, FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2023
Last updated Nov 27th, 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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