Organization Active NPI

Northwest Health and Wellness, Inc

  • Health Service Clinic/Center
  • Senatobia, MS
National Provider Identifier
1992303010
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NORTHWEST HEALTH AND WELLNESS, INC
Practice address
215 Northwest Drive
Senatobia, MS 38668
Phone
(662) 473-1667
NPI assigned
Oct 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Chris R Wilkinson
Title
Cfo
Phone
(662) 473-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

215 Northwest Drive
Senatobia, MS 38668

Mailing address

50 S Main St
Water Valley, MS 38965-2946
Phone (662) 473-1667

National Provider Directory

National Provider Directory

Locations

215 Northwest Dr
Senatobia, MS 38668
Phone (662) 473-1667

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1992303010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652946",
            "telephone_number": "662-473-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NORTHWEST DRIVE",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "38668",
            "telephone_number": "662-473-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HEALTH AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "662-473-1667"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.