WELLSPRING CLINIC (NPI# 1518481258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518481258 |
| Entity Type | Organization |
| Organization Name | WELLSPRING CLINIC |
| Practice Address |
1845 Highway 126 Ste H Florence OR 97439-9626 |
| Mailing Address |
Po Box 2746 Florence OR 97439-0165 |
| Practice Telephone | 5419028860 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | BAJE THIBODEAUX (OFFICE MANAGER) |
| Authorized Official Telephone | 5419028860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WELLSPRING CLINIC, LLC | 1234 Rhododendron Dr Ste 4b, Florence, OR 97439 |
| Street Address |
1845 HIGHWAY 126 STE H |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700449709 | Lauren Stefanie Woznicki | Massage Therapist | 1845 Highway 126 Ste H, Florence, OR 97439-9626 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316895 | Florence Health Complex, LLC | Clinic/Center | 130 S Church St, Florence, MS 39073-8478 | 2019-09-27 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1235314071 | Rettay Chiropractic Office Psc | Clinic/Center | 7560 B Burlington Pike, Florence, KY 41042-9634 | 2007-12-28 |
| 1124201876 | Florence Womens Health | Clinic/Center | 901 E Cheves St Ste 360, Florence, SC 29506-2769 | 2007-12-17 |
| 1467634816 | First Vision Group,llc | Clinic/Center | 514 2nd Loop Rd Ste E, Florence, SC 29505-2848 | 2007-11-28 |
| 1376680322 | Kentucky Easter Seal Society Inc | Clinic/Center | 31 Spiral Drive, Florence, KY 41042 | 2007-01-31 |
| 1750465571 | Kentucky Easter Seal Society Inc | Clinic/Center | 31 Spiral Dr, Florence, KY 41042 | 2006-10-25 |
| 1043294127 | Robert Kratz, Md | Clinic/Center | 7210 Turfway Road, Florence, KY 41042 | 2005-12-02 |
| 1174183479 | Marino Chiropractic Clinic | Clinic/Center | 156 Titan Dr, Florence, AL 35630-1197 | 2019-06-18 |
| 1861833188 | Helen Keller Hospital Outpatient Clinics LLC | Clinic/Center | 202 E Dr Hicks Blvd, Florence, AL 35630-5768 | 2013-07-15 |
| Find all providers in FLORENCE | ||||
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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.