Provider Demographics
NPI:1790565380
Name:WRIGHT ELEVATE HEALTH LLC
Entity Type:Organization
Organization Name:WRIGHT ELEVATE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:308-999-0945
Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-0565
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 W C ST
Practice Address - Street 2:SUITE #3
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3592
Practice Address - Country:US
Practice Address - Phone:308-777-2476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center