Provider Demographics
NPI:1851103006
Name:CORE WELLNESS LLP
Entity type:Organization
Organization Name:CORE WELLNESS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUSH
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:406-442-8508
Mailing Address - Street 1:630 N LAST CHANCE GULCH STE 2400
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3572
Mailing Address - Country:US
Mailing Address - Phone:406-442-8508
Mailing Address - Fax:406-298-6277
Practice Address - Street 1:630 N LAST CHANCE GULCH STE 2400
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3572
Practice Address - Country:US
Practice Address - Phone:406-442-8508
Practice Address - Fax:406-298-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center