NPIMap

Organization Active NPI

Wells Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Jacksonville, IL
National Provider Identifier
1982081352
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A-0613-0006-A Issued in IL
Legal business name
WELLS CENTER, INC
Practice address
1300 Lincoln Ave
Jacksonville, IL 62650-3112
Phone
(217) 243-7693
Fax
(217) 243-2278
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Bruce Carter
Title
Executive Director
Phone
(217) 243-1871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X A-0613-0006-A IL Primary
Substance Abuse Rehabilitation Facility 324500000X A-0613-0008-A IL

Addresses

Primary practice location

1300 Lincoln Ave
Jacksonville, IL 62650-3112

Mailing address

1300 Lincoln Ave
Jacksonville, IL 62650-3112
Phone (217) 243-7693

National Provider Directory

National Provider Directory
Tax ID family
Wells Center Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1982081352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LINCOLN AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503112",
            "telephone_number": "217-243-7693",
            "fax_number": "217-243-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LINCOLN AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503112",
            "telephone_number": "217-243-7693",
            "fax_number": "217-243-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-243-1871"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0613-0006-A",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0613-0008-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.