Provider Demographics
NPI:1861978322
Name:HEALING SPRINGS HEALTH CENTER
Entity type:Organization
Organization Name:HEALING SPRINGS HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:BULLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-466-2207
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-0097
Mailing Address - Country:US
Mailing Address - Phone:864-466-2207
Mailing Address - Fax:
Practice Address - Street 1:128 MEDICAL SCIENCES DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379
Practice Address - Country:US
Practice Address - Phone:864-441-0723
Practice Address - Fax:864-441-0725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty