Provider Demographics
NPI:1700616703
Name:MOMENTUM ARTHRITIS AND WELLNESS CLINIC
Entity type:Organization
Organization Name:MOMENTUM ARTHRITIS AND WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:LOVE
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:814-977-5287
Mailing Address - Street 1:406 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1923
Mailing Address - Country:US
Mailing Address - Phone:814-977-5287
Mailing Address - Fax:301-235-2706
Practice Address - Street 1:921 SETON DR STE C&D
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1852
Practice Address - Country:US
Practice Address - Phone:814-977-5287
Practice Address - Fax:301-235-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty