<Unavail>
LBN: Wellsource
<Unavail> is an health care organization with primary practice located at 235 S Eisenhower Avenue , Mason City IA 50401. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Wellsource can be contacted via phone (641) 424-2075, or through Eastwood, Andrew M via phone (641) 424-2075.
Contact Information
Primary practice address
235 S Eisenhower Avenue
Mason City IA 50401
Phone: (641) 424-2075
Fax: (641) 424-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Nursing Service Providers / Registered Nurse | 163W00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1992818249 |
|---|---|
| LBN Legal business name | Wellsource |
| DBA Doing business as | <Unavail> |
| Authorized official | Eastwood, Andrew M MSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jan 23rd, 2015 - about 11 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 | 1992818249 | NPPES |
| Iowa | MEDICAID | 00065243 |
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