SELAH WELLNESS CLINIC LLC; NPI #1215676747

Contact Information

SELAH WELLNESS CLINIC LLC

501 MAIN STREET
SANDSTONE, MN 55072

Phone: 320-372-2323
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for SELAH WELLNESS CLINIC LLC

NPI #	`1215676747`
LBN Legal business name	SELAH WELLNESS CLINIC LLC
Authorized official	TINA KELLER - (VP COMPLIANCE)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/02/2022
Last updated	05/31/2026 - About 2 weeks 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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