Wellspring, Inc.

LBN: Wellspring, Inc.
Wellspring, Inc. is an health care organization with primary practice located at 253-255 Hammond St. , Bangor ME 04401. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as 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
253-255 Hammond St. Bangor ME 04401
Phone: (207) 941-1612
Fax: (207) 941-1634
Website:
Map and Directions
Authorized official contact:
Name: Kimball, Patricia A LADC, CCS
Phone: (207) 941-1612

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 571380 Maine

Profile Details

NPI number 1568694511
LBN Legal business name Wellspring, Inc.
DBA Doing business as
Authorized official Kimball, Patricia A LADC, CCS
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 10th, 2009
Last updated Aug 10th, 2009 - about 17 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 1568694511 NPPES
Maine MEDICAID 164940100

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