Advanced Health & Wellness | |
900 Biddle Rd Medford OR 97504-6118 | |
(850) 867-0353 | |
Not Available |
Full Name | Advanced Health & Wellness |
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Speciality | Clinic/Center |
Location | 900 Biddle Rd, Medford, Oregon |
Authorized Official Name and Position | Lakiesha Sheaffer (OWNER/OPERATOR) |
Authorized Official Contact | 5414140481 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Health & Wellness 900 Biddle Rd Medford OR 97504-6118 Ph: (850) 867-0353 | Advanced Health & Wellness 900 Biddle Rd Medford OR 97504-6118 Ph: (850) 867-0353 |
NPI Number | 1225891922 |
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Provider Enumeration Date | 02/05/2024 |
Last Update Date | 07/17/2024 |
Medicare PECOS PAC ID | 7012451602 |
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Medicare Enrollment ID | O20240708001679 |
Identifier | Type | State | Issuer |
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1225891922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Lakiesha Sheaffer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891237889 PECOS PAC ID: 1557641750 Enrollment ID: I20161205002033 |
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