Total Family Wellness Inc.
Organization Active NPI Nutrition Chiropractor · Cedaredge, CO
NPI 1144490376 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1144490376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nutrition Chiropractor 111NN1001X
- License
- 5432 (CO)
- Legal business name
- TOTAL FAMILY WELLNESS INC.
- Practice address
- 105 SE Greenwood Ave
Cedaredge, CO 81413-4003 - Phone
- (970) 856-3545
- Fax
- (970) 856-3545
- NPI assigned
- Mar 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Alexander Steven Gilmore, D.C.
- Title
- President
- Phone
- (970) 856-3545
Practitioners 1
-
Alexander Steven Gilmore, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312001296 | CO | Part B Supplier - Clinic/Group Practice | 4385533777 |
Receives reassigned benefits from 1 practitioner Practice locations: Cedaredge, CO |
National Provider Directory
Locations
105 SE Greenwood Ave
Cedaredge, CO 81413
Phone (970) 856-3545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor |
111NN1001X | 5432 | CO | Yes |
Addresses
Primary practice location
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Mailing address
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Phone (970) 856-3545
Other providers in Cedaredge, CO
- Allison Fay Snow
- Nikole Stanfield
- Stephanie Nickel LPC, LLC
- Surface Creek Family Practice PC
- The Mindful Body Collective
- Transcend Beauty & Wellness, LLC
- Deborah Peters Verstrepen
- Megan Renne Vertrees
- Terry S Wade
- Travis Wernet
All providers in Cedaredge, CO · Nutrition Chiropractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.