Provider Demographics
NPI:1750740809
Name:AMERICA'S WELLNESS CLINIC LLC
Entity type:Organization
Organization Name:AMERICA'S WELLNESS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MW
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-339-5883
Mailing Address - Street 1:2814 E EVANS DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-5031
Mailing Address - Country:US
Mailing Address - Phone:602-524-9022
Mailing Address - Fax:
Practice Address - Street 1:441 WADSWORTH BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1508
Practice Address - Country:US
Practice Address - Phone:303-985-4604
Practice Address - Fax:888-262-0920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty