WELLS CENTER, INC (NPI# 1316325962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316325962 |
| Entity Type | Organization |
| Organization Name | WELLS CENTER, INC |
| Practice Address |
1300 Lincoln Ave Jacksonville IL 62650-3112 |
| Practice Telephone | 2172431871 |
| Practice Fax Number | 2172432278 |
| Mailing Telephone | 2172431871 |
| Mailing Fax Number | 2172432278 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |
| Authorized Official Name | BRUCE CARTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2172431871 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0613-0008-A | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982081352 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-05 |
| Street Address |
1300 LINCOLN AVE |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982081352 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-05 |
| 1144868407 | Gateway Professional Services, PC | Counselor | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2019-12-18 |
| 1396309340 | Andrea Rollins | Counselor | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2019-04-25 |
| 1811499114 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2018-03-02 |
| 1568970663 | Gateway Foundation, Inc. | Clinic/Center | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| 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 |
|---|---|---|---|---|
| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 1982081352 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-05 |
| 1760548184 | Lakeview Health Systems, LLC | Substance Abuse Rehabilitation Facility | 1900 Corporate Square Ct., Jacksonville, FL 32216 | 2006-12-29 |
| 1508922931 | Stepping Stone Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1815 Corporate Square Blvd, Jacksonville, FL 32216-0325 | 2006-12-29 |
| 1205933561 | Wells Center Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Avenue, Jacksonville, IL 62650 | 2006-09-20 |
| 1356305338 | Gateway Community Services Inc | Substance Abuse Rehabilitation Facility | 555 Stockton St, Jacksonville, FL 32204-2534 | 2006-04-14 |
| 1235629379 | Human Services Council | Substance Abuse Rehabilitation Facility | 233 E Bay St Ste 916, Jacksonville, FL 32202-3456 | 2018-05-15 |
| 1811499114 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2018-03-02 |
| 1780134874 | Recovery Coast | Substance Abuse Rehabilitation Facility | 340 16th Ave N, Jacksonville, FL 32250-4819 | 2016-10-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on WELLS CENTER, INC.
| 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.