Wellspring Community Support Services, Inc. is a primary clinic (Clinic/center - Adult Mental Health) in Mansfield, Pennsylvania. The current practice location for Wellspring Community Support Services, Inc. is 3rd & St. James Street, St. James Complex #206b, Mansfield, Pennsylvania. For appointments, you can reach them via phone at
(570) 662-2821. The mailing address for Wellspring Community Support Services, Inc. is Po Box 574, Mansfield, Pennsylvania and phone number is (570) 662-1064.
Wellspring Community Support Services, Inc. is licensed to practice in Pennsylvania (license number 221170) and its
NPI number is 1144451121. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(570) 662-2821.
Primary Care Clinic Profile
| Full Name | Wellspring Community Support Services, Inc. |
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| Speciality | Clinic/center - Adult Mental Health |
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| Location | 3rd & St. James Street, Mansfield, Pennsylvania |
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| Authorized Official Name and Position | Frank M. Von Hendy (PRESIDENT) |
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| Authorized Official Contact | 5706621064 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wellspring Community Support Services, Inc.
Po Box 574
Mansfield
PA 16933-0574
Ph: (570) 662-1064 | Wellspring Community Support Services, Inc.
3rd & St. James Street
St. James Complex #206b
Mansfield
PA 16933
Ph: (570) 662-2821 |
NPI Details:
| NPI Number | 1144451121 |
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| Provider Enumeration Date | 08/07/2009 |
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| Last Update Date | 04/20/2011 |
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Medical Identifiers
Medical identifiers for Wellspring Community Support Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144451121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | 221170 (Pennsylvania) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 221170 (Pennsylvania) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 221170 (Pennsylvania) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 222350 (Pennsylvania) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | 221170 (Pennsylvania) | Secondary |
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