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INNOVATIVE HEALTH CLINIC
NPI 1245904150
Clinic/Center in Ridgeland, MS

Active since August 04, 2021
230 TRACE COLONY PARK DR STE 1, RIDGELAND, MS 39157(601) 944-5585 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2022, Sep 16, 2021, Aug 4, 2021 (3 updates tracked since 2021).

About Innovative Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE HEALTH CLINIC (NPI 1245904150) is a healthcare organization registered as a clinic/center in Ridgeland, Mississippi and active in the NPI registry since August 2021. The organization lists Stacey L Holt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245904150
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameACOUSTIC WAVE TREATMENT CENTER OF MS LLC
Location Address230 TRACE COLONY PARK DR STE 1Ridgeland, MS 39157-8851
Mailing Address230 Trace Colony Park Dr Ste 1Ridgeland, MS 39157-8851 · (601) 944-5585
Phone(601) 944-5585
Organization SubpartNo
Authorized OfficialStacey L HoltCeo · (601) 944-5585
Enumeration DateAugust 4, 2021
Last NPPES UpdateSeptember 23, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1245904150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
230 TRACE COLONY PARK DR STE 1, Ridgeland, MS 39157
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Other Names 1

Doing Business AsInnovative Health Clinic

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA LEDFORD NP
Nurse Practitioner (Adult Health)
230 TRACE COLONY PARK DR STE 1
RIDGELAND, MS 39157
Madison County (601) 944-5585
FIRAS MOURAD
Dentist (Prosthodontics)
230 TRACE COLONY PARK DR STE 1
RIDGELAND, MS 39157
Madison County (601) 707-3878

Frequently 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 Acoustic Wave Treatment Center Of Ms LLC's NPI number?

The NPI number for Acoustic Wave Treatment Center Of Ms LLC is 1245904150. It was assigned to this organization in the NPPES registry on August 4, 2021. The provider is doing business as Innovative Health Clinic.

Where is Acoustic Wave Treatment Center Of Ms LLC located?

Acoustic Wave Treatment Center Of Ms LLC is located at 230 Trace Colony Park Dr Ste 1, Ridgeland, MS 39157. The listed phone number is (601) 944-5585.

What is Acoustic Wave Treatment Center Of Ms LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Acoustic Wave Treatment Center Of Ms LLC was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.