NPIMap

Organization Active NPI

Wellstone Regional Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jeffersonville, IN
National Provider Identifier
1376746818
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELLSTONE REGIONAL HOSPITAL
Practice address
2700 Vissing Park Rd.
Jeffersonville, IN 47130-5989
Phone
(812) 284-8000
Fax
(812) 258-1094
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Mr. Dominic Spano
Title
Ceo
Phone
(812) 258-1016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2700 Vissing Park Rd.
Jeffersonville, IN 47130-5989

Mailing address

2700 Vissing Park Rd.
Jeffersonville, IN 47130-5989
Phone (812) 284-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1376746818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 VISSING PARK RD.",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305989",
            "telephone_number": "812-284-8000",
            "fax_number": "812-258-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VISSING PARK RD.",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305989",
            "telephone_number": "812-284-8000",
            "fax_number": "812-258-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTONE REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "SPANO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-258-1016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.