| Divinity Wellness Center Inc | |
|
6709 S Minnesota Ave Ste 203 Sioux Falls SD 57108-2593 | |
| (605) 906-3078 | |
| (605) 316-3883 |
| Full Name | Divinity Wellness Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6709 S Minnesota Ave Ste 203, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Trisha Wimbs (OWNER) |
| Authorized Official Contact | 5309066844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divinity Wellness Center Inc 6709 S Minnesota Ave Ste 203 Sioux Falls SD 57108-2593 Ph: (605) 906-3078 | Divinity Wellness Center Inc 6709 S Minnesota Ave Ste 203 Sioux Falls SD 57108-2593 Ph: (605) 906-3078 |
| NPI Number | 1417653270 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 5294192985 |
|---|---|
| Medicare Enrollment ID | O20230612002642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417653270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Trisha Wimbs |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457655409 PECOS PAC ID: 0244406171 Enrollment ID: I20230612002988 |
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