# J BEVERLY ENTERPRISES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Remynde Family Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134993058
- **Authorized official:** JAMIE BEVERLY (OWNER)
- **Authorized official phone:** (541) 517-3970

## Contact information

- **Practice address:** 1110 18TH ST STE 6, SPRINGFIELD, OR 97477-4200
- **Practice address phone:** (541) 517-3970
- **Practice address fax:** (458) 201-8188
- **Mailing address:** 2329 RODNEY CT, SPRINGFIELD, OR 97477-1964
- **Mailing address phone:** (805) 440-8341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2023
- **Last updated:** 11/10/2023