Provider Demographics
NPI:1770724957
Name:ARC HEALTH & WELLNESS CENTERS LLC
Entity type:Organization
Organization Name:ARC HEALTH & WELLNESS CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WES
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-331-3361
Mailing Address - Street 1:PO BOX 34120
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89533-4120
Mailing Address - Country:US
Mailing Address - Phone:775-747-5050
Mailing Address - Fax:775-326-8298
Practice Address - Street 1:2205 GLENDALE AVE
Practice Address - Street 2:SUITE 131
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5513
Practice Address - Country:US
Practice Address - Phone:775-331-3361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care