| Wellspring Health LLC | |
|
1550 University Ave Dubuque IA 52001-4790 | |
| (563) 900-8300 | |
| Not Available |
| Full Name | Wellspring Health LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1550 University Ave, Dubuque, Iowa |
| Authorized Official Name and Position | Wes Hartig (PRACTICE MANAGER) |
| Authorized Official Contact | 5639008300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Health LLC 1550 University Ave Dubuque IA 52001-4790 Ph: (563) 900-8300 | Wellspring Health LLC 1550 University Ave Dubuque IA 52001-4790 Ph: (563) 900-8300 |
| NPI Number | 1154003481 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 1759738693 |
|---|---|
| Medicare Enrollment ID | O20231114002227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154003481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Braden Christopher Powers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073827721 PECOS PAC ID: 1456653914 Enrollment ID: I20180713000465 |
| Provider Name | Darcie Marie Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215536636 PECOS PAC ID: 3274944913 Enrollment ID: I20201201001549 |
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