Provider Demographics
NPI:1205655289
Name:CAREWELL MEDICAL, LLC
Entity type:Organization
Organization Name:CAREWELL MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNDREN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:828-434-8534
Mailing Address - Street 1:307 S DEPOT ST STE D2
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37857-3329
Mailing Address - Country:US
Mailing Address - Phone:423-528-1454
Mailing Address - Fax:844-433-0038
Practice Address - Street 1:307 S DEPOT ST STE D2
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-3329
Practice Address - Country:US
Practice Address - Phone:423-528-1454
Practice Address - Fax:844-433-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care