CHARIS HEALTH AND WELLNESS CLINIC, LLC; NPI #1457814501

Contact Information

CHARIS HEALTH AND WELLNESS CLINIC, LLC

7500 DOLLARWAY RD STE 403
WHITE HALL, AR 71602

Phone: 870-247-4525
Fax: 870-247-4294
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Adult Health	363LA2200X	50	Nurse Practitioner
Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for CHARIS HEALTH AND WELLNESS CLINIC, LLC

NPI Number	`1457814501`
LBN Legal business name	CHARIS HEALTH AND WELLNESS CLINIC, LLC
Authorized official	KANISHER CALDWELL - (APRN/OWNER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	04/06/2019
Last updated	07/08/2022 - About 4 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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CHARIS HEALTH AND WELLNESS CLINIC, LLC

Contact Information

Specialty

Primary Care

Adult Health

Family

NPI Profile & details for CHARIS HEALTH AND WELLNESS CLINIC, LLC

Reviews for CHARIS HEALTH AND WELLNESS CLINIC, LLC