180 HEALTH MEDICAL AND WELLNESS CENTER
NPI 1649815796
General Practice in Springfield, MO

Active since November 13, 2019CLIA 26D2178191 · Waiver
1936 S GLENSTONE AVE, SPRINGFIELD, MO 65804(417) 827-0450 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2020, Nov 13, 2019 (2 updates tracked since 2019).

About 180 Health Medical And Wellness Center NPPES

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

180 HEALTH MEDICAL AND WELLNESS CENTER (NPI 1649815796) is a healthcare organization registered as a general practice in Springfield, Missouri and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Tara Meek, Owner, as its authorized official.

NPPES Registry Identity

NPI1649815796
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business Name180 HEALTH LIFESTYLE WELLNESS CENTERS
Location Address1936 S GLENSTONE AVESpringfield, MO 65804-2305
Mailing Address1936 S Glenstone AveSpringfield, MO 65804-2305 · (417) 827-0450
Organization SubpartNo
Authorized OfficialTara MeekOwner · (417) 887-0340
Enumeration DateNovember 13, 2019
Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
NPI 1649815796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
1936 S GLENSTONE AVE, Springfield, MO 65804

Other Names 1

Doing Business As180 Health Medical And Wellness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 26D2178191

180 Health Medical And Wellness Center · Springfield, MO
Active · expires Jan 27, 2028
CLIA Number26D2178191
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorAnjuli Ellis
Laboratory Phone(417) 887-0340
Laboratory Location180 Health Medical And Wellness Center500 E Battlefield, Springfield, MO 65804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 180 Health Lifestyle Wellness Centers's NPI number?

The NPI number for 180 Health Lifestyle Wellness Centers is 1649815796. It was assigned to this organization in the NPPES registry on November 13, 2019. The provider is doing business as 180 Health Medical And Wellness Center.

Where is 180 Health Lifestyle Wellness Centers located?

180 Health Lifestyle Wellness Centers is located at 1936 S Glenstone Ave, Springfield, MO 65804. The listed phone number is (417) 827-0450.

What is 180 Health Lifestyle Wellness Centers's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does 180 Health Lifestyle Wellness Centers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2178191) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 180 Health Lifestyle Wellness Centers was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.