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360 Wellness Clinic Llc
Rural Health Clinic/Center in Benton, Arkansas
NPI 1366048803

360 Wellness Clinic Llc is a Rural Health Clinic/Center based in Benton, AR and is specialized in Rural Health. 360 Wellness Clinic Llc practices in Benton, AR. The NPI Number for 360 Wellness Clinic Llc is 1366048803 and holds a License No. (Arkansas).

The current practice location address for 360 Wellness Clinic Llc is 620 W South St Ste A, Benton, AR and can be reached out via phone at 501-794-6123 and via fax at 501-794-6148.

Location: 620 W South St Ste A, Benton, AR, 72015-4235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366048803
Provider Name
360 Wellness Clinic Llc
Credential
Provider Entity Type
Organization
Address
620 W South St Ste A, Benton, AR, 72015-4235
Phone Number
501-794-6123
Fax Number
501-794-6148
Provider Enumeration Date
12/09/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119185001 05 AR
1205911849 01 AR NPI
institution
Provider Business Practice Location Address Details
Address
620 W South St Ste A
City
Benton
State
Arkansas
Zip
72015-4235
Phone Number
501-794-6123
Fax Number
501-794-6148
person
Provider Business Mailing Address Details
Address
620 W South St Ste A
City
Benton
State
Arkansas
Zip
72015-4235
Phone Number
501-794-6123
Fax Number
501-794-6148
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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