LIGHTHOUSE HEALTH AND WELLNESS – NPI #1306315056
Clinic/Center

LIGHTHOUSE HEALTH AND WELLNESS is an AHC clinic located in NORTH BEND, OR. NPPES has assigned the NPI number 1306315056 to LIGHTHOUSE HEALTH AND WELLNESS on November 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIGHTHOUSE HEALTH AND WELLNESS” is a dba name, the actual legal business name for this organization is LIGHTHOUSE WELLNESS INSTITUTE INC. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 8 years ago on Dec 07, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIGHTHOUSE HEALTH AND WELLNESS below.

NPI Profile for
LIGHTHOUSE WELLNESS INSTITUTE INC

NPI Number
1306315056
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIGHTHOUSE WELLNESS INSTITUTE INC
Doing Business As (dba): LIGHTHOUSE HEALTH AND WELLNESS
Primary location
2182 BROADWAY AVE
NORTH BEND, OR 97459
Phone: (541) 808-9697 Fax: (541) 808-9699
1 Other location(s):
2590 Virginia Ave
North Bend, OR 97459-1741
Phone: (630) 205-9000
Mailing address
2590 VIRGINIA AVE
NORTH BEND, OR 97459-1741
Phone: (630) 205-9000 Fax:
Organization Subpart
No
Authorized Official
MICHAEL BARTELL
OWNER
Phone: (630) 205-9000
Updated
Identifiers

Identifiers for LIGHTHOUSE HEALTH AND WELLNESS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR500748374
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.