Wellspring
LBN: Wellspring, Inc.
Wellspring is an health care organization with primary practice located at 255 Hammond St. , Bangor ME 04401-5294. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Wellspring, Inc. can be contacted via phone (207) 941-1612, or through Kimball, Patricia A. via phone (207) 941-1612.
Contact Information
Primary practice address
255 Hammond St.
Bangor ME 04401-5294
Phone: (207) 941-1612
Fax: (207) 941-1634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 291041 | Maine |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 290961 | Maine |
Profile Details
| NPI number | 1275526303 |
|---|---|
| LBN Legal business name | Wellspring, Inc. |
| DBA Doing business as | Wellspring |
| Authorized official | Kimball, Patricia A. L.A.D.C., C.C.S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Aug 17th, 2018 - about 6 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 | 1275526303 | NPPES |
| Maine | MEDICAID | 164940003 | |
| Maine | MEDICAID | 164940000 | |
| Maine | MEDICAID | 164940002 | |
| Maine | MEDICAID | 164940100 | |
| Maine | MEDICAID | 164940001 |
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