NPIMap

Organization Active NPI

Wellsrping Health of Florida

  • Community Health Clinic/Center
  • Melbourne, FL
National Provider Identifier
1629460142
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
HCC10390 Issued in FL
Legal business name
WELLSRPING HEALTH OF FLORIDA
Practice address
150 W University Blvd
Florida Institute of Technology
Melbourne, FL 32901-6982
Phone
(678) 813-0505
Fax
(678) 813-0505
NPI assigned
Feb 20, 2015
Organization subpart
Yes
Parent organization
RIVERMEND HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Authorized official

Name
Debra Townsend
Title
VP of RCM
Phone
(470) 440-1647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X HCC10390 FL Primary

Addresses

Primary practice location

150 W University Blvd
Florida Institute of Technology
Melbourne, FL 32901-6982

Mailing address

2300 Windy Ridge Pkwy SE
#210 South
Atlanta, GA 30339-5665
Phone (678) 813-0505

National Provider Directory

National Provider Directory
Tax ID family
Wellspring Health of Ca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1629460142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WINDY RIDGE PKWY SE",
            "address_2": "#210 SOUTH",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395665",
            "telephone_number": "678-813-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W UNIVERSITY BLVD",
            "address_2": "FLORIDA INSTITUTE OF TECHNOLOGY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329016982",
            "telephone_number": "678-813-0505",
            "fax_number": "678-813-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSRPING HEALTH OF FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERMEND HEALTH",
        "enumeration_date": "2015-02-20",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VP OF RCM",
        "authorized_official_telephone_number": "470-440-1647"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "HCC10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.