A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Primary Care |
261QP2300X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1629586375 |
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| LBN Legal business name | WADE FAMILY MEDICINE, LLC. | ||||||||
| Authorized official | MODEANNA WADE - (FNP) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/16/2018 | ||||||||
| Last updated | 07/09/2024 - More than a year ago | ||||||||
| Identifiers |
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