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Contact Information

TEN MILE HEALTH & WELLNESS LLC
114 VILLAGE PLACE
ST 207
DILLON, CO80435
 Phone: 970-455-9004
 Fax: 949-577-4247
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for TEN MILE HEALTH & WELLNESS LLC

NPI # 1417538281
LBN Legal business name TEN MILE HEALTH & WELLNESS LLC
Authorized official THERESA CLARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2021
Last updated 04/14/2021 - About 5 years ago
Identifiers
CO Medicaid 9000169353
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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