| Wellsprings Health Care Center | |
|
19204 Nw Us Highway 441 High Springs FL 32643-8783 | |
| (386) 454-7746 | |
| (386) 454-3034 |
| Full Name | Wellsprings Health Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 19204 Nw Us Highway 441, High Springs, Florida |
| Authorized Official Name and Position | Andrea C Johnson (PRESIDENT) |
| Authorized Official Contact | 3864547746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsprings Health Care Center Po Box 3614 Ocala FL 34478-3614 Ph: (386) 454-7746 | Wellsprings Health Care Center 19204 Nw Us Highway 441 High Springs FL 32643-8783 Ph: (386) 454-7746 |
| NPI Number | 1598309718 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 03/22/2021 |
| Medicare PECOS PAC ID | 0042646846 |
|---|---|
| Medicare Enrollment ID | O20200213001736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598309718 | NPI | - | NPPES |
| 107400100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Andrea Colette Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245364157 PECOS PAC ID: 7719914449 Enrollment ID: I20050725000282 |
| Provider Name | Shawn Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629743604 PECOS PAC ID: 1557750684 Enrollment ID: I20211111001296 |
High Springs Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Nw Santa Fe Blvd, High Springs, FL 32643 Phone: 386-454-7746 Fax: 386-454-3034 | |
William Donald Warring Warring William Donald Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Nw Santa Fe Blvd, High Springs, FL 32643 Phone: 386-454-2688 Fax: 386-454-2680 | |
P John Kim Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18635 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-2724 Fax: 386-454-2899 | |
Stankus Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18743 Nw 234th St, High Springs, FL 32643 Phone: 352-214-5807 | |
High Springs Physical Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18245 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-3941 Fax: 386-454-4066 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16916 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-0568 Fax: 352-224-7899 |