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BEDFORD FAMILY WELLNESS LLC
NPI 1306328174
Clinic/Center - Primary Care in Bedford, PA

Active since August 29, 2018CLIA Certified · 2 labs
5157 BUSINESS 220 STE 1, BEDFORD, PA 15522(814) 623-8414(814) 623-6668 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2023, Nov 2, 2022, Nov 6, 2020 and 2 more (5 updates tracked since 2018).

About Bedford Family Wellness Llc NPPES

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

BEDFORD FAMILY WELLNESS LLC (NPI 1306328174) is a healthcare organization registered as a primary care in Bedford, Pennsylvania and active in the NPI registry since August 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Ebensburg, and lists Jennifer Fitzsimmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1306328174
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBEDFORD FAMILY WELLNESS LLC
Location Address5157 BUSINESS 220 STE 1Bedford, PA 15522-7770
Mailing Address5157 Business 220 Ste 1Bedford, PA 15522-7770 · (814) 623-8414 · Fax (814) 623-6668
Phone(814) 623-8414
Fax(814) 623-6668
Organization SubpartNo
Authorized OfficialJennifer FitzsimmonsOwner · (814) 623-8414
Enumeration DateAugust 29, 2018
Last NPPES UpdateJune 2, 20235 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1306328174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5157 BUSINESS 220 STE 1, Bedford, PA 15522
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Secondary Practice Location 1

Location 1501 W High StEbensburg, PA 15931-1583 · Phone (814) 623-8414 · Fax (814) 623-6668

CLIA Laboratory Certificates CMS CLIA 2

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 39D2238859

Bedford Family Wellness LLC · Bedford, PA
Active · expires Oct 6, 2027
CLIA Number39D2238859
Laboratory TypePractitioner Other
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorDr. Norihito Onishi
Laboratory Phone(814) 623-8414
Laboratory LocationBedford Family Wellness LLC5157 Business 220 Suite 1, Bedford, PA 15522
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2287293

Bedford Family Wellness LLC · Ebensburg, PA
Active · expires Aug 10, 2027
CLIA Number39D2287293
Laboratory TypePractitioner Other
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorDr. Norihito Onishi
Laboratory Phone(814) 623-8414
Laboratory LocationBedford Family Wellness LLC501 W High Street, Ebensburg, PA 15931
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JENNIFER ECKENRODE FITZSIMMONS CRNP
Nurse Practitioner (Primary Care)
5157 BUSINESS 220 STE 1
BEDFORD, PA 15522
Bedford County (814) 623-8414

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 Bedford Family Wellness LLC's NPI number?

The NPI number for Bedford Family Wellness LLC is 1306328174. It was assigned to this organization in the NPPES registry on August 29, 2018.

Where is Bedford Family Wellness LLC located?

Bedford Family Wellness LLC is located at 5157 Business 220 Ste 1, Bedford, PA 15522. The listed phone number is (814) 623-8414.

What is Bedford Family Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Bedford Family Wellness LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bedford Family Wellness LLC was last updated on June 2, 2023. 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.