Provider Demographics
NPI:1467167593
Name:CLINICAL CARE 365 INC
Entity Type:Organization
Organization Name:CLINICAL CARE 365 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-989-2201
Mailing Address - Street 1:10375 PARK MEADOWS DR STE 555
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6735
Mailing Address - Country:US
Mailing Address - Phone:281-989-2201
Mailing Address - Fax:
Practice Address - Street 1:10375 PARK MEADOWS DR STE 555
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6735
Practice Address - Country:US
Practice Address - Phone:281-989-2201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1336854454
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-23
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center