Wellspring Family Practice, Pa

LBN: Wellspring Family Practice, Pa
Wellspring Family Practice, Pa is an health care organization with primary practice located at 81 Medical Park Loop Suite 202, Sylva NC 28779-5291. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wellspring Family Practice, Pa can be contacted via phone (828) 586-7705, or through Mahar, Matthew Alan via phone (828) 586-7705.

Contact Information

Primary practice address
81 Medical Park Loop Suite 202 Sylva NC 28779-5291
Fax: (828) 586-7714
Website:
Authorized official contact:
Name: Mahar, Matthew Alan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200001199 North Carolina

Profile Details

NPI number 1083756761
LBN Legal business name Wellspring Family Practice, Pa
DBA Doing business as
Authorized official Mahar, Matthew Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 7th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083756761 NPPES
North Carolina MEDICAID 5950037
North Carolina Other 019U1

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