A COMMUNITY WELLNESS CLINIC LLC; NPI #1063056497

Contact Information

A COMMUNITY WELLNESS CLINIC LLC

2405 E 17TH AVE STE 113
SPOKANE, WA 99223-5122

Phone: 509-720-8516
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for A COMMUNITY WELLNESS CLINIC LLC

NPI # 1063056497

LBN Legal business name A COMMUNITY WELLNESS CLINIC LLC

Authorized official KERRY TRAUGOTT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/29/2019

Last updated 05/13/2026 - About a month ago

Identifiers

Other

1396118469

NPI

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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A COMMUNITY WELLNESS CLINIC LLC

Contact Information

Specialty

Family

NPI Profile & details for A COMMUNITY WELLNESS CLINIC LLC

Reviews for A COMMUNITY WELLNESS CLINIC LLC