WELLSPRING OF LIFE ENTERPRISES LLC
NPI 1700495165
Family Medicine in Roswell, NM

Active since July 30, 2020
109 W BLAND ST, ROSWELL, NM 88203(575) 420-1609 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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
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

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

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
109 W BLAND ST
ROSWELL, NM 88203
Pediatrics
109 W BLAND ST
ROSWELL, NM 88203
Physical Therapist
109 W BLAND ST
ROSWELL, NM 88203
Nurse Practitioner (Family)
109 W BLAND ST
ROSWELL, NM 88203
Physical Therapist
109 W BLAND ST
ROSWELL, NM 88203
Home Health
109 W BLAND ST
ROSWELL, NM 88203
General Practice
109 W BLAND ST
ROSWELL, NM 88203
Secured Medical Transport (VAN)
109 W BLAND ST
ROSWELL, NM 88203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellspring Of Life Enterprises LLC's NPI number?

The NPI number for Wellspring Of Life Enterprises LLC is 1700495165. It was assigned to this organization in the NPPES registry on July 30, 2020.

Where is Wellspring Of Life Enterprises LLC located?

Wellspring Of Life Enterprises LLC is located at 109 W Bland St, Roswell, NM 88203. The listed phone number is (575) 420-1609.

What is Wellspring Of Life Enterprises LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wellspring Of Life Enterprises LLC was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.