Countryside Wellness Center

LBN: Northwood Medical Center, Pa
Countryside Wellness Center is an health care organization with primary practice located at 3023 Eastland Blvd H105, Clearwater FL 33761-4106. The organization recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as the primary health care specialty. Northwood Medical Center, Pa can be contacted via phone (727) 724-0488, or through Bates, Carol Ann via phone (727) 724-0488.

Contact Information

Primary practice address
3023 Eastland Blvd H105 Clearwater FL 33761-4106
Fax: (727) 724-0489
Website:
Authorized official contact:
Name: Bates, Carol Ann LIC ACU, AP, DOM

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP000344 Florida

Profile Details

NPI number 1306123864
LBN Legal business name Northwood Medical Center, Pa
DBA Doing business as Countryside Wellness Center
Authorized official Bates, Carol Ann LIC ACU, AP, DOM
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2011
Last updated Nov 12th, 2011 - about 14 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 1306123864 NPPES
Florida Other 1336330240 NPI AS SOLE PROP.

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