Organization Active NPI

Wildcats Wellness Center

  • Clinic/Center
  • Albion, MI
National Provider Identifier
1154587079
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WILDCATS WELLNESS CENTER
Practice address
225 E Watson St
Albion, MI 49224-1194
Phone
(517) 629-8464
Fax
(517) 629-8466
NPI assigned
Jul 30, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Luanne Miller
Title
Clinical Coordinator
Phone
(269) 789-8814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

225 E Watson St
Albion, MI 49224-1194

Mailing address

225 E Watson St
Albion, MI 49224-1194
Phone (517) 629-8464

Other identifiers 2

IdentifierTypeStateIssuer
5008706720OtherMIBCBSM
774911039MedicaidMI

National Provider Directory

National Provider Directory

Locations

225 E Watson St
Albion, MI 49224
Phone (517) 629-8464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1154587079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E WATSON ST",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241194",
            "telephone_number": "517-629-8464",
            "fax_number": "517-629-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E WATSON ST",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241194",
            "telephone_number": "517-629-8464",
            "fax_number": "517-629-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDCATS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LUANNE",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "269-789-8814"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5008706720",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774911039",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.