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Wellspring of Life Enterprises LLC

Family Medicine Physician in Roswell, NM · enumerated 2020 · authorized official Mary Mcmahon, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700495165

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Registry record

Entity type Organization (Type 2)
Legal business name Wellspring of Life Enterprises LLC
Practice address 109 W Bland St, Roswell, NM, 88203
Enumeration date Jul 30, 2020
Last updated in NPPES Jul 30, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mary Mcmahon
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Wellspring of Life Enterprises LLC?
NPPES lists Mary Mcmahon (Owner) as the authorized official for this organization.
What is the NPI number for Wellspring of Life Enterprises LLC?
The NPI for Wellspring of Life Enterprises LLC is 1700495165, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-30.