Wellspring Family Medicine
LBN: Wellspring Family Medicine, Pc
Wellspring Family Medicine is an health care organization with primary practice located at 311 N 4Th St , Oakland MD 21550-1371. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Wellspring Family Medicine, Pc can be contacted via phone (301) 334-7855, or through Thomas, Ramona via phone (301) 501-5110.
Contact Information
Primary practice address
311 N 4Th St
Oakland MD 21550-1371
Phone: (301) 334-7855
Fax: (301) 334-7828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 05746 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12014 | Maryland |
Profile Details
| NPI number | 1265952998 |
|---|---|
| LBN Legal business name | Wellspring Family Medicine, Pc |
| DBA Doing business as | Wellspring Family Medicine |
| Authorized official | Thomas, Ramona |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2017 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265952998 | NPPES |
| Maryland | MEDICAID | 413901100 | |
| Maryland | MEDICAID | 3810006442 |
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