Optimum Wellness Center

LBN: Optimum Wellness Center
Optimum Wellness Center is an health care organization with primary practice located at 716 Broadway St , Paintsville KY 41240-1357. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Optimum Wellness Center can be contacted via phone (606) 792-2330, or through Sammons, Matthew via phone (606) 220-2553.

Contact Information

Primary practice address
716 Broadway St Paintsville KY 41240-1357
Phone: (606) 792-2330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sammons, Matthew
Phone: (606) 220-2553

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1003446162
LBN Legal business name Optimum Wellness Center
DBA Doing business as
Authorized official Sammons, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2020
Last updated Jun 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003446162 NPPES
Kentucky MEDICAID 7100648130

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