NPIMap

Organization Active NPI

Holistic Health & Wellness SC

  • Multi-Specialty Clinic/Center
  • O'Fallon, IL
National Provider Identifier
1609010859
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
042619407 Issued in IL
Legal business name
HOLISTIC HEALTH & WELLNESS SC
Practice address
4965 Stone Falls Ctr
Suite # 7
O Fallon, IL 62269-7802
Phone
(618) 624-9384
Fax
(618) 624-9386
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Dr. Tomasita A Lahue, D.C.
Title
Health Director
Phone
(618) 624-9384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 042619407 IL Primary

Addresses

Primary practice location

4965 Stone Falls Ctr
Suite # 7
O Fallon, IL 62269-7802

Mailing address

4965 Stone Falls Ctr
Suite # 7
O Fallon, IL 62269-7802
Phone (618) 624-9384

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1609010859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 STONE FALLS CTR",
            "address_2": "SUITE # 7",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697802",
            "telephone_number": "618-624-9384",
            "fax_number": "618-624-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 STONE FALLS CTR",
            "address_2": "SUITE # 7",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697802",
            "telephone_number": "618-624-9384",
            "fax_number": "618-624-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH & WELLNESS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "LAHUE",
        "authorized_official_first_name": "TOMASITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "618-624-9384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "042619407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.