Peggy L. Medina Dba Wellness Ware

LBN: Wellness Ware Inc
Peggy L. Medina Dba Wellness Ware is an health care organization with primary practice located at 1547 Ne F St , Grants Pass OR 97526-4234. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Wellness Ware Inc can be contacted via phone (541) 956-7647, or through Medina, Peggy Lee via phone (541) 956-7647.

Contact Information

Primary practice address
1547 Ne F St Grants Pass OR 97526-4234
Phone: (541) 956-7647
Fax: (541) 956-8739
Website:
Map and Directions
Authorized official contact:
Name: Medina, Peggy Lee
Phone: (541) 956-7647

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1952819591
LBN Legal business name Wellness Ware Inc
DBA Doing business as Peggy L. Medina Dba Wellness Ware
Authorized official Medina, Peggy Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2018
Last updated Jan 17th, 2018 - about 6 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 1952819591 NPPES
Oregon MEDICAID 247509
Oregon Other 820461000
Oregon Other JE-400-01

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