360 Wellness Clinic LLC
NPI 1366048803ActiveOrganization· Clinic/Center· Benton, AR
Clinic/Center in Benton, Arkansas, registered in NPPES in December 2020. The authorized official on file is Blake Torres, Owner.
Overview
| NPI | 1366048803 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2020 |
| Last updated in NPPES | May 9, 2022 |
| Certified by provider | May 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Benton
- 1467232579
- 1053448233
- 1295423192
- 1699201376
- 1588504088
- 1578591129
- 1336456805