WOLF CREEK WELLNESS CENTER, LLC
NPI 1023826757
Substance Abuse Rehabilitation Facility in Prescott, AZ
About Wolf Creek Wellness Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOLF CREEK WELLNESS CENTER, LLC (NPI 1023826757) is a healthcare organization registered as a substance abuse rehabilitation facility in Prescott, Arizona and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Jonathon Ciampa, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2318622
Wolf Creek Wellness Center · Prescott, AZFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wolf Creek Wellness Center, LLC's NPI number?
The NPI number for Wolf Creek Wellness Center, LLC is 1023826757. It was assigned to this organization in the NPPES registry on December 27, 2024.
Where is Wolf Creek Wellness Center, LLC located?
Wolf Creek Wellness Center, LLC is located at 360 Trailwood Dr, Prescott, AZ 86301. The listed phone number is (928) 800-0169.
What is Wolf Creek Wellness Center, LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Wolf Creek Wellness Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2318622) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wolf Creek Wellness Center, LLC was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wolf Creek Wellness Center, Llc · NPI 1023826757
Substance Abuse Rehabilitation Facility organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since December 27, 2024.
## Identity
- **NPI:** 1023826757 (Entity type: Organization)
- **Enumerated:** December 27, 2024
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Jonathon Ciampa, CEO
## Practice location
- **Address:** 360 TRAILWOOD DR, Prescott, AZ 86301-8635
- **Phone:** (928) 800-0169
## Record status
- **NPPES last updated:** December 27, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1023826757) · Data from the CMS NPPES public registry.