Independent Wellness Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INDEPENDENT WELLNESS CENTER

Practice address

1000 W Apache TRL Ste 108
Apache Junction, AZ 85120-5403

Phone

(480) 983-5060

Fax

(480) 983-5070

NPI assigned

Oct 23, 2019

Last updated

Aug 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Cronin

Title

Owner

Phone

(480) 983-5060

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1487297354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W APACHE TRL STE 108",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205403",
            "telephone_number": "480-983-5060",
            "fax_number": "480-983-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W APACHE TRL STE 108",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205403",
            "telephone_number": "480-983-5060",
            "fax_number": "480-983-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-983-5060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://phr.charmtracker.com/login.sas?FACILITY_ID=aad7261cfb8b4530754a0f6d89748f9e2b",
            "affiliation": "N",
            "endpointDescription": "PATIENT RECORD PORTAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 W Apache Trl Ste 108",
            "city": "Apache Junction",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851205403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Clinic/Center in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.