Provider Demographics
NPI:1053120394
Name:ASCENSION WELLNESS
Entity type:Organization
Organization Name:ASCENSION WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEDDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-420-7267
Mailing Address - Street 1:10 MONTCALM AVE APT B
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1533
Mailing Address - Country:US
Mailing Address - Phone:518-420-7267
Mailing Address - Fax:
Practice Address - Street 1:10 MONTCALM AVE APT B
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1533
Practice Address - Country:US
Practice Address - Phone:518-420-7267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health