Provider Demographics
NPI:1649088444
Name:B WELL
Entity type:Organization
Organization Name:B WELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ARNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:MACY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHORNO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-306-1898
Mailing Address - Street 1:700 E MOUNTAIN VIEW AVE STE 505
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-4802
Mailing Address - Country:US
Mailing Address - Phone:509-426-3750
Mailing Address - Fax:509-426-3760
Practice Address - Street 1:700 E MOUNTAIN VIEW AVE STE 505
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-4802
Practice Address - Country:US
Practice Address - Phone:509-426-3750
Practice Address - Fax:509-426-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center