Provider Demographics
NPI:1275118085
Name:FAMILY HEALTH & WELLNESS, INC.
Entity Type:Organization
Organization Name:FAMILY HEALTH & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIKI
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:406-293-3113
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-0510
Mailing Address - Country:US
Mailing Address - Phone:406-293-3113
Mailing Address - Fax:406-293-3115
Practice Address - Street 1:108 E 9TH ST STE 1
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923-2019
Practice Address - Country:US
Practice Address - Phone:406-293-3113
Practice Address - Fax:406-293-3115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty