Wellspring Healthcare, Pllc
LBN: Wellspring Healthcare, Pllc
Wellspring Healthcare, Pllc is an health care organization with primary practice located at 403 Princeton Rd Suite 7, Johnson City TN 37601-2056. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Wellspring Healthcare, Pllc can be contacted via phone (423) 283-0333, or through Sibley, Denise S via phone (423) 283-0333.
Contact Information
Primary practice address
403 Princeton Rd Suite 7
Johnson City TN 37601-2056
Phone: (423) 283-0333
Fax: (423) 283-0518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1821009747 |
|---|---|
| LBN Legal business name | Wellspring Healthcare, Pllc |
| DBA Doing business as | |
| Authorized official | Sibley, Denise S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 10th, 2010 - about 16 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 | 1821009747 | NPPES |
| Tennessee | MEDICAID | 371182 |
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