WELLONE PRIMARY MEDICAL AND DENTAL CARE – NPI #1245219070
Clinic/Center

WELLONE PRIMARY MEDICAL AND DENTAL CARE is an AHC clinic located in PASCOAG, RI. NPPES has assigned the NPI number 1245219070 to WELLONE PRIMARY MEDICAL AND DENTAL CARE on January 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLONE PRIMARY MEDICAL AND DENTAL CARE” is a dba name, the actual legal business name for this organization is NORTHWEST COMMUNITY HEALTH CARE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 14 years ago on Jun 01, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WELLONE PRIMARY MEDICAL AND DENTAL CARE below.

NPI Profile for
NORTHWEST COMMUNITY HEALTH CARE

NPI Number
1245219070
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST COMMUNITY HEALTH CARE
Doing Business As (dba): WELLONE PRIMARY MEDICAL AND DENTAL CARE
Primary location
36 BRIDGE WAY
PASCOAG, RI 02859
Phone: (401) 567-0800 Fax: (401) 567-0900
Mailing address
PO BOX 312
PASCOAG, RI 02859
Phone: (401) 567-0800 Fax: (401) 567-0900
Organization Subpart
No
Authorized Official
DIANE HOPPER
VP OF FINANCE
Phone: (401) 568-7664
Updated
Identifiers

Identifiers for WELLONE PRIMARY MEDICAL AND DENTAL CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDRINC50602
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
RI ACF01571
261Q00000X
- Clinic/Center
RI ACF01571

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.