Wellspring, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WELLSPRING, INC.

Practice address

1205 E Saint James St
Rapid City, SD 57701-3958

Phone

(605) 342-0345

Fax

(605) 718-4878

NPI assigned

Jul 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay Alan Van Hunnik, MA

Title

Executive Director

Phone

(605) 718-4870

Specialties & licenses 1

Addresses

Tax ID family

Soaring Eagle Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wellspring Inc.

  • Psychiatry Physician
  • Rapid City, SD
  • NPI 1891823332
  NPD tax ID
• Wellspring, Inc.

  • Mental Health Counselor
  • Rapid City, SD
  • NPI 1851059208
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1295090082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577091087",
            "telephone_number": "605-718-4870",
            "fax_number": "605-718-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E SAINT JAMES ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013958",
            "telephone_number": "605-342-0345",
            "fax_number": "605-718-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "VAN HUNNIK",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "605-718-4870",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Weitzel, RBT
• Renae Elizabeth Welke, OD
• Bryan J Wellman, MD
• Wellspring
• Wellspring Inc.
• Wellspring, Inc.
• Gary Welsh
• Kristin Wempe, MD
• Tiffani R Wenande, PHARM.D.
• Sydney Wendt, OD

• Substance Abuse Rehabilitation Facility in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Substance Abuse Rehabilitation Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.