Organization
HEALTHSTAT WELLNESS-POLK HAINES
Active
Organization
HEALTHSTAT WELLNESS-POLK HAINES
Active
Other names
Healthstat On-Site Clinic/Polk County
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
631B US HIGHWAY 17 92 W, HAINES CITY, FL 33844-5047
(863) 519-3858
Mailing address
4601 CHARLOTTE PARK DR, SUITE 390, CHARLOTTE, NC 28217-1915
(704) 529-6161
(704) 936-5570
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5709730
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/23/2012
Last updated
07/14/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up