Provider Demographics
NPI:1952467797
Name:180 HEALTH LIFESTYLE WELLNESS CENTERS
Entity Type:Organization
Organization Name:180 HEALTH LIFESTYLE WELLNESS CENTERS
Other - Org Name:MEEK INTEGRATIVE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-887-0340
Mailing Address - Street 1:1934 S GLENSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-2305
Mailing Address - Country:US
Mailing Address - Phone:417-887-0340
Mailing Address - Fax:417-887-0445
Practice Address - Street 1:1934 S GLENSTONE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2305
Practice Address - Country:US
Practice Address - Phone:417-887-0340
Practice Address - Fax:417-887-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty