Organization Active NPI

All Wellness Medical Center LLC

  • Primary Care Clinic/Center
  • Bullhead City, AZ
National Provider Identifier
1154796969
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ALL WELLNESS MEDICAL CENTER LLC
Practice address
2500 Canyon Rd Ste A1
Bullhead City, AZ 86442-8492
Phone
(928) 704-4499
Fax
(928) 704-4949
NPI assigned
Dec 4, 2015
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Mr. Truman ThompsonNPI 1306121108
Title
Manager
Phone
(928) 704-4499

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2500 Canyon Rd Ste A1
Bullhead City, AZ 86442-8492

Mailing address

2500 Canyon Rd Ste A1
Bullhead City, AZ 86442-8492
Phone (928) 704-4499

National Provider Directory

National Provider Directory

Locations

2500 Canyon Rd
Ste A2
Bullhead City, AZ 86442
Phone (928) 704-4499

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": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1154796969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD STE A1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428492",
            "telephone_number": "928-704-4499",
            "fax_number": "928-704-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD STE A1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428492",
            "telephone_number": "928-704-4499",
            "fax_number": "928-704-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL WELLNESS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TRUMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-704-4499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.