180 HEALTH MEDICAL AND WELLNESS CENTER – NPI #1649815796
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

180 HEALTH MEDICAL AND WELLNESS CENTER is a provider located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1649815796 to 180 HEALTH MEDICAL AND WELLNESS CENTER on November 13, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “180 HEALTH MEDICAL AND WELLNESS CENTER” is a dba name, the actual legal business name for this organization is 180 HEALTH LIFESTYLE WELLNESS CENTERS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Jul 28, 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 180 HEALTH MEDICAL AND WELLNESS CENTER below.

NPI Profile for
180 HEALTH LIFESTYLE WELLNESS CENTERS

NPI Number
1649815796
Enumeration Date

(more than 6 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
180 HEALTH LIFESTYLE WELLNESS CENTERS
Doing Business As (dba): 180 HEALTH MEDICAL AND WELLNESS CENTER
Primary location
1936 S GLENSTONE AVE
SPRINGFIELD, MO 65804-2305
Phone: (417) 827-0450 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TARA MEEK
OWNER
Phone: (417) 887-0340
Updated
Certification Date
Jul 28, 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
208D00000X
- General Practice (Primary)
207Q00000X
- Family Medicine

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.