CCN: 237242 NPI: 1053317735 Organization

WELLSPRING LUTHERAN SERVICES

100 MAYER ROAD
FRANKENMUTH, MI 487349502

Contact Information

Phone 9896524663
Fax 9896523279
Enumeration Date 2005-06-27
Last Updated 2012-02-28

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

censusDivision 4

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 40980

providerType 36

specialPaymentIndicator

carrierCode 08202

localityCode 99