Organization Active NPI

Community Wellness Center, Inc

  • Case Management Agency
  • Pocatello, ID
National Provider Identifier
1083769798
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
000417300 Issued in ID
Legal business name
COMMUNITY WELLNESS CENTER, INC
Practice address
1509 N Arthur Ave
Pocatello, ID 83204
Phone
(208) 234-7199
Fax
(208) 234-8084
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Catalina Steckbauer, MS,RNNPI 1578900734
Title
Owner, Manager
Phone
(208) 234-7199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 000417300 ID Primary
Nursing Care Agency 251J00000X 8053791 ID
Community/Behavioral Health Agency 251S00000X 000417100 ID

Addresses

Primary practice location

1509 N Arthur Ave
Pocatello, ID 83204

Mailing address

1509 N Arthur Ave
Pocatello, ID 83204
Phone (208) 234-7199

National Provider Directory

National Provider Directory

Locations

1509 N Arthur Ave
Pocatello, ID 83204
Phone (208) 234-7199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1083769798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N ARTHUR AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83204",
            "telephone_number": "208-234-7199",
            "fax_number": "208-234-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N ARTHUR AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83204",
            "telephone_number": "208-234-7199",
            "fax_number": "208-234-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "STECKBAUER",
        "authorized_official_first_name": "CATALINA",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "208-234-7199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "000417300",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ID",
            "license": "8053791",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "000417100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.