Wellbound Of Stockton

LBN: Wellbound Of Stockton Llc
Wellbound Of Stockton is an health care organization with primary practice located at 3555 Deer Park Dr Suite 140, Stockton CA 95219-2306. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Wellbound Of Stockton Llc can be contacted via phone (209) 955-5630, or through Vincent, Bernadette via phone (650) 404-3600.

Contact Information

Primary practice address
3555 Deer Park Dr Suite 140 Stockton CA 95219-2306
Phone: (209) 955-5630
Fax: (209) 955-5635
Website:
Map and Directions
Authorized official contact:
Name: Vincent, Bernadette
Phone: (650) 404-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1144260811
LBN Legal business name Wellbound Of Stockton Llc
DBA Doing business as Wellbound Of Stockton
Authorized official Vincent, Bernadette
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jan 19th, 2023 - about 2 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 1144260811 NPPES
California MEDICAID CDC52555F

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