Active NPIOrganization

Wellspring, INC.

Substance Abuse Rehabilitation Facility in Bangor, Maine

NPI Number1275526303
Practice location
255 Hammond St., Bangor, ME 04401-5294
Fax
207-941-1634
Last updated
August 17, 2018

Wellspring, INC. is a healthcare organization based in Bangor, ME. Wellspring, INC. practices in Bangor, ME. The NPI Number for Wellspring, INC. is 1275526303 and holds a License No. 291041 (ME). The current practice location address for Wellspring, INC. is 255 Hammond St., Bangor, ME 04401-5294 and can be reached out via phone at 207-941-1612 and via fax at 207-941-1634.

Provider Profile Details

NPI Number
1275526303
Provider Name
Wellspring, INC.
Provider Entity Type
Organization
Address
255 Hammond St., Bangor, ME 04401-5294
Phone Number
207-941-1612
Fax Number
207-941-1634
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Organization Subpart
No
Authorized Official
Ms. Patricia A. Kimball, LADC, CCS · Executive Director Registered Agent · 207-941-1612
Other Names
Wellspring (Doing Business As)
Provider Enumeration Date
August 24, 2005
Last Update Date
August 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Hammond St.
Bangor, ME 04401-5294
City
Bangor
State
Maine
Zip
04401-5294
Phone Number
207-941-1612
Fax Number
207-941-1634
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
98 Cumberland St
Bangor, ME 04401-5234
City
Bangor
State
ME
Zip
04401-5234
Phone Number
207-941-1612
Fax Number
207-941-1634

License Information

License Number (1)
291041
License State (1)
ME
Taxonomy (1)
Community/Behavioral Health · 251S00000X
License Number (2)
290961
License State (2)
ME
Taxonomy (2)
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wellspring, INC.?

The NPI number of Wellspring, INC. is 1275526303. It was assigned on August 24, 2005 and is currently active in the NPPES registry.

What is the specialty of Wellspring, INC.?

Wellspring, INC. is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in ME under license number 291041.

Where does Wellspring, INC. practice?

The practice location is 255 Hammond St., Bangor, ME 04401-5294. The office can be reached at 207-941-1612 (phone) or 207-941-1634 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275526303 directly on the NPPES registry website.

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