A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
taxonomy 261Q00000X
Clinic/Center
Definition to come...
taxonomy 261QP2300X
Clinic/Center
Definition to come...
taxonomy 261QU0200X
Nurse Practitioner
Definition to come...
taxonomy 363LF0000X
Identifiers
Type
Value
Notes
01
1694561564
AMERIGROUP
01
9363417
CIGNA
01 (TX)
H000RJ8101
BCBS
05 (TX)
431976602
01 (TX)
431976602
MEDICAID
01
EB1820
RAILROAD PALMETTO
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Healthier Way IV Solutions
Type code 4recorded 2022-08-08
Healthier Way IV Solutions, PLLC
Type code 4recorded 2022-08-08
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Plus 1 secondary practice location.
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