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Contact Information

THREE CLOUDS ON MAIN WELLNESS CENTER & SPA
1054 E MAIN ST
COTTAGE GROVE, OR97424-2230
 Phone: 541-942-2831
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for THREE CLOUDS ON MAIN WELLNESS CENTER & SPA

NPI Number 1558658500
LBN Legal business name THREE CLOUDS ON MAIN WELLNESS CENTER & SPA
Authorized official SALLY LASSITER - (OWNER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2011
Last updated 06/28/2011 - About 15 years 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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