WELLSPRING, INC. (NPI# 1295090082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295090082 |
Entity Type | Organization |
Organization Name | WELLSPRING, INC. |
Practice Address |
1205 E Saint James St Rapid City SD 57701-3958 |
Mailing Address |
Po Box 1087 Rapid City SD 57709-1087 |
Practice Telephone | 6053420345 |
Practice Fax Number | 6057184878 |
Mailing Telephone | 6057184870 |
Mailing Fax Number | 6057184878 |
Enumeration Date | 2012-07-09 |
Last Update Date | 2012-07-09 |
Authorized Official Name | JAY ALAN VAN HUNNIK (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6057184870 |
Authorized Official Credential | MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | SD | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275526303 | Wellspring, Inc. | Community/Behavioral Health | 255 Hammond St., Bangor, ME 04401-5294 | 2005-08-24 |
1508254699 | Wellspring, Inc. | Substance Abuse Rehabilitation Facility | 98 Cumberland St, Bangor, ME 04401-5234 | 2014-12-26 |
1568694511 | Wellspring, Inc. | Community/Behavioral Health | 253-255 Hammond St., Bangor, ME 04401 | 2009-08-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | WELLSPRING, INC. | Arch Bridge Rd, Bethlehem, CT 06751 |
Street Address |
1205 E SAINT JAMES ST |
City | RAPID CITY |
State | SD |
Zip Code | 57701-3958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760006092 | Michelle Ann Obineche | Counselor | 1205 E Saint James St, Rapid City, SD 57701-3958 | 2020-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
Find all providers in zip 57701 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194851469 | Pennington County Sheriff's Office | Substance Abuse Rehabilitation Facility | 725 N Lacrosse St, Ste 300, Rapid City, SD 57701-1491 | 2007-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154979805 | Avera Mckennan | Substance Abuse Rehabilitation Facility | 6140 S Curae Lane, Sioux Falls, SD 57108-3047 | 2019-08-27 |
1306398011 | Bowling Green Inn of South Dakota | Substance Abuse Rehabilitation Facility | 3800 S Kiwanis Ave, Sioux Falls, SD 57105-4234 | 2016-10-28 |
1518206051 | Volunteers of America,dakotas | Substance Abuse Rehabilitation Facility | 1310 W 51st St, Sioux Falls, SD 57105-6606 | 2013-02-04 |
1902057631 | Anpetu Luta Otipi | Substance Abuse Rehabilitation Facility | Bia Hwy 39 No Flesh Road, Box 275, Kyle, SD 57752-0275 | 2008-09-30 |
1629235627 | Black Hills Recovery Center | Substance Abuse Rehabilitation Facility | 1807 Williams St, Sturgis, SD 57785-1142 | 2008-05-19 |
1225208010 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Substance Abuse Rehabilitation Facility | # 7 Hospital Lane, Rosebud, SD 57570-0348 | 2008-03-07 |
1316167505 | Rosebud Sioux Tribe Piya Mani Otipi | Substance Abuse Rehabilitation Facility | Bristal Ranch Hwy 18, Mission, SD 57555-0428 | 2007-04-27 |
1902937394 | The Glory House of Sioux Falls | Substance Abuse Rehabilitation Facility | 4000 S West Ave, Sioux Falls, SD 57105-6601 | 2007-03-08 |
1952446411 | Carroll Institute | Substance Abuse Rehabilitation Facility | 310 S 1st Ave, Sioux Falls, SD 57104-6329 | 2007-02-21 |
1508900507 | Dakotah Pride Center Sisseton Wahpeton Oyate | Substance Abuse Rehabilitation Facility | 388 Dakota Ave, Sisseton, SD 57262-3327 | 2007-02-16 |
Find all providers with the same taxonomy |
City | RAPID CITY |
Zip Code | 57701 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.