Provider Demographics
NPI:1972126837
Name:VOLUNTEER HEALING CENTERS, LLC
Entity type:Organization
Organization Name:VOLUNTEER HEALING CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIMAKOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-516-1956
Mailing Address - Street 1:383 E MONTELLO ST
Mailing Address - Street 2:
Mailing Address - City:MONTELLO
Mailing Address - State:WI
Mailing Address - Zip Code:53949-9603
Mailing Address - Country:US
Mailing Address - Phone:608-403-7008
Mailing Address - Fax:
Practice Address - Street 1:108 E LAUDERDALE ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-4508
Practice Address - Country:US
Practice Address - Phone:931-222-4670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty