Wellspring Faith in Action

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

WELLSPRING FAITH IN ACTION

Practice address

108 8TH St S
Saint James, MN 56081-1798

Phone

(507) 375-1276

Fax

(507) 375-1260

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Joann Dexheimer

Title

Program Coordinator

Phone

(507) 375-1276

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1811196652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 8TH ST S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811798",
            "telephone_number": "507-375-1276",
            "fax_number": "507-375-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 8TH ST S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811798",
            "telephone_number": "507-375-1276",
            "fax_number": "507-375-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAITH IN ACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "DEXHEIMER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "507-375-1276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Saint James, MN
• Providers in Saint James, MN by specialty
• Private Vehicle in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.