Organization
WELLSPRING FARM LLC
Active
Other names
Wellspring Farm Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD VOGEL MA CAGS LCSW (FOUNDER EXECUTIVE DIRECTOR)
(508) 763-5896
Entity
Organization
Contact information
Practice address
42 HILLER RD, ROCHESTER, MA 02770
(508) 763-5896
(508) 763-5896
Mailing address
42 HILLER RD, ROCHESTER, MA 02770
(508) 763-5896
(508) 763-5896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
MA
163W00000X
Registered Nurse
—
MA
208000000X
Pediatrics Physician
—
MA
225100000X
Physical Therapist
—
MA
225X00000X
Occupational Therapist
—
MA
235Z00000X
Speech-Language Pathologist
—
MA
251S00000X
Community/Behavioral Health Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038463
COMMUNITY MEDICAL ALLIANCE
MA
05
—
1016266
—
MA
01
—
VCG000188774AD
MA STATE VENDOR
MA
01
—
WWELL001A
MA DMR AUTISM WAIVER NUMBER
MA
Enumeration date
05/21/2008
Last updated
05/21/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us