Stout Wellness Center is a
Clinic/center - Multi-specialty based in Fort Mohave, Arizona. Stout Wellness Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
5130 S Highway 95, Fort Mohave, Arizona. It can be reached at their office (for appointments etc.) via phone at
(928) 768-2811.
NPI number for Stout Wellness Center is 1518082122 and their current mailing address is 5130 Highway 95, Fort Mohave, Arizona. Stout Wellness Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1518082122.
Healthcare Provider's Profile
| Full Name | Stout Wellness Center |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 5130 S Highway 95, Fort Mohave, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518082122
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 03/01/2024
Medical Identifiers
Medical identifiers for Stout Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518082122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | B542 (Nevada) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stout Wellness Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stout Wellness Center
5130 Highway 95,
Fort Mohave, AZ 86426
Ph: (928) 768-2811 | Stout Wellness Center
5130 S Highway 95,
Fort Mohave, AZ 86426-9374
Ph: (928) 768-2811 |
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