DIVINITY WELLNESS CENTER INC – NPI #1417653270
Clinic/Center

DIVINITY WELLNESS CENTER INC is an AHC clinic located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1417653270 to DIVINITY WELLNESS CENTER INC on February 03, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 3 years ago on Nov 01, 2023. 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 DIVINITY WELLNESS CENTER INC below.

NPI Profile for
DIVINITY WELLNESS CENTER INC

NPI Number
1417653270
Enumeration Date

(more than 3 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
DIVINITY WELLNESS CENTER INC
Primary location
6709 S MINNESOTA AVE STE 203
SIOUX FALLS, SD 57108-2593
Phone: (605) 906-3078 Fax: (605) 316-3883
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRISHA WIMBS
OWNER
Phone: (530) 906-6844
Updated
Certification Date
Nov 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QM1300X
- Clinic/Center / Multi-Specialty (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.