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Contact Information

SELAH WELLNESS CENTER LLC
501 MAIN ST
SANDSTONE, MN55072-4410
 Phone: 320-372-2312
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for SELAH WELLNESS CENTER LLC

NPI Number 1619774783
LBN Legal business name SELAH WELLNESS CENTER LLC
Authorized official NAOMI KOENIG - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2025
Last updated 03/03/2025 - More than a year ago
Identifiers n/a
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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