New Life Wellness Llc

LBN: New Life Wellness Llc
New Life Wellness Llc is an health care organization with primary practice located at 256 E Hurlburt Ave Ste 117 , Hermiston OR 97838-2443. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Medical Specialty. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. New Life Wellness Llc can be contacted via phone (541) 351-9150, or through Kelly, Randall via phone (206) 418-8222.

Contact Information

Primary practice address
256 E Hurlburt Ave Ste 117 Hermiston OR 97838-2443
Phone: (541) 351-9150
Fax: (509) 593-4644
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Randall DMSC, PAC
Phone: (206) 418-8222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1508463639
LBN Legal business name New Life Wellness Llc
DBA Doing business as
Authorized official Kelly, Randall DMSC, PAC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2020
Last updated Dec 30th, 2023 - about 3 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 1508463639 NPPES
Oregon MEDICAID 500698482

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