Wellness Medical Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WELLNESS MEDICAL CENTER INC

Practice address

350 Missouri Ave Ste 102
Jeffersonville, IN 47130-3001

Phone

(502) 802-3726

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By 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. Eduardo A Chong

Title

President

Phone

(502) 802-3726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1679998801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MISSOURI AVE STE 102",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303001",
            "telephone_number": "502-802-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MISSOURI AVE STE 102",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303001",
            "telephone_number": "502-802-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-802-3726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Webb
• Heaven Webster, RBT
• Thivanthi Weeratunga
• Anne Weisbach, LMHC
• Ronald Weiss, M.D.
• Wellstone Nurse Practitioner Group
• Wellstone Regional Hospital
• Wellstone Regional Hospital Acquisition LLC
• Wellstone Regional Hospital Acquisition LLC (Wellstone Regional Hospital)
• Wellstone Regional Hospital LLC

• Health Service Clinic/Center in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Health Service Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.