THRIVE DIRECT HEALTH CARE – NPI #1497255293
Clinic/Center

THRIVE DIRECT HEALTH CARE is an AHC clinic located in LA CONNER, WA. NPPES has assigned the NPI number 1497255293 to THRIVE DIRECT HEALTH CARE on February 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THRIVE DIRECT HEALTH CARE” is a dba name, the actual legal business name for this organization is FERN LANE COMPANY, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 6 years ago on Jan 15, 2020. 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 THRIVE DIRECT HEALTH CARE below.

NPI Profile for
FERN LANE COMPANY, LLC

NPI Number
1497255293
Enumeration Date

(more than 8 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
FERN LANE COMPANY, LLC
Doing Business As (dba): THRIVE DIRECT HEALTH CARE
Primary location
708 E MORRIS ST
SUITE B
LA CONNER, WA 98257
Phone: (360) 630-5141 Fax: (866) 302-7491
Mailing address
PO BOX 2104
LA CONNER, WA 98257-2104
Phone: (360) 630-5141 Fax: (866) 302-7491
Organization Subpart
No
Authorized Official
BRIANNA WILSON
OWNER
Phone: (360) 941-5519
Updated
Certification Date
Jan 15, 2020

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
261QP2300X
- Clinic/Center / Primary Care (Primary)
261QP3300X
- Clinic/Center / Pain

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.