Healthy Green Lifestyle Center of Town Park, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HEALTHY GREEN LIFESTYLE CENTER OF TOWN PARK, LLC

Practice address

1790 Town Park Blvd
Suite D
Uniontown, OH 44685-7972

Phone

(330) 494-8641

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Thomas R Clay

Title

President

Phone

(330) 494-8641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1942445002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 TOWN PARK BLVD",
            "address_2": "SUITE D",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857972",
            "telephone_number": "330-494-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 TOWN PARK BLVD",
            "address_2": "SUITE D",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857972",
            "telephone_number": "330-494-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY GREEN LIFESTYLE CENTER OF TOWN PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-494-8641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Uniontown, OH
• Providers in Uniontown, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.