| All Wellness Medical Center Llc | |
|
2500 Canyon Rd Ste A1 Bullhead City AZ 86442-8492 | |
| (928) 704-4499 | |
| (928) 704-4949 |
| Full Name | All Wellness Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Canyon Rd Ste A1, Bullhead City, Arizona |
| Authorized Official Name and Position | Truman Thompson (MANAGER) |
| Authorized Official Contact | 9287044499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Wellness Medical Center Llc 2500 Canyon Rd Ste A1 Bullhead City AZ 86442-8492 Ph: (928) 704-4499 | All Wellness Medical Center Llc 2500 Canyon Rd Ste A1 Bullhead City AZ 86442-8492 Ph: (928) 704-4499 |
| NPI Number | 1154796969 |
|---|---|
| Provider Enumeration Date | 12/04/2015 |
| Last Update Date | 11/22/2023 |
| Medicare PECOS PAC ID | 0749583797 |
|---|---|
| Medicare Enrollment ID | O20160125002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154796969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Christina Goldstein-charbonneau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033252325 PECOS PAC ID: 8224931704 Enrollment ID: I20100819000215 |
| Provider Name | Susan L Zook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437571023 PECOS PAC ID: 4688959513 Enrollment ID: I20170316000486 |
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