WELLSPRING OF LIFE ENTERPRISES LLC - NPI 1700495165

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Wellspring Of Life Enterprises Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPRING OF LIFE ENTERPRISES LLC (NPI 1700495165) is a healthcare organization registered as a family medicine in Roswell, New Mexico and active in the NPI registry since July 2020. The organization lists Mary Mcmahon, Owner, as its authorized official.

NPPES Registry Identity

NPI1700495165

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWELLSPRING OF LIFE ENTERPRISES LLC

Location Address109 W BLAND STRoswell, NM 88203-5708

Mailing AddressPo Box 711Roswell, NM 88202-0711 · (575) 420-1609

Phone(575) 420-1609

Organization SubpartNo

Authorized OfficialMary McmahonOwner · (575) 420-1609

Enumeration DateJuly 30, 2020

NPPES CertifiedJuly 30, 2020

✔ NPI 1700495165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

109 W BLAND ST, Roswell, NM 88203

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP