WELLNORTH MEDICAL LLC


Address: 1630 Mineral Spring Ave, 2, North Providence, RI 02904-4025
Phone: 4014381010

WELLNORTH MEDICAL LLC (NPI# 1568667848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568667848
Entity Type Organization
Organization Name WELLNORTH MEDICAL LLC
Practice Address 1630 Mineral Spring Ave
2
North Providence
RI 02904-4025
Mailing Address 1630 Mineral Spring Ave
2
North Providence
RI 02904-4043
Practice Telephone 4014381010
Mailing Telephone 4014381010
Enumeration Date 2007-06-18
Last Update Date 2015-12-16
Authorized Official Name JAVID CALCATTI (DIRECTOR)
Authorized Official Telephone 4014381010
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RI BLUE CHIP CP408256 01

Office Location

Street Address 1630 MINERAL SPRING AVE
2
City NORTH PROVIDENCE
State RI
Zip Code 02904-4025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285134452 Roshani Shrestha Nurse Practitioner 1630 Mineral Spring Ave, North Providence, RI 02904-4043 2018-02-14
1013468164 Alison Poirier Dietitian, Registered 1630 Mineral Spring Ave, North Providence, RI 02904 2016-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144792383 Lifespan Pharmacy LLC Durable Medical Equipment & Medical Supplies 180 Corliss Street, Suite A, Providence, RI 02904 2018-12-28
1780168229 Beth M. Kalunian Social Worker 480 Charles Street, Providence, RI 02904 2018-09-20
1588161608 Michael P. Johnson, Md, Inc Internal Medicine 148 W River St Ste 22b, Providence, RI 02904 2018-04-06
1780045948 Fred Saccoccio Pharmacist 15 Smithfield Road, No Providence, RI 02904 2016-03-16
1699148999 Latin Adult Day Health Care Center Clinic/Center 665 Charles Street, Providence, RI 02904 2015-11-09
1144639956 Dina P Toolin Occupational Therapist 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 2014-08-06
1801208798 Seth Clark Internal Medicine 200 Corliss St, Providence, RI 02904 2014-05-27
1134554645 Molly Elizabeth Smith Physical Therapist 1405 Douglas Ave, North Providence, RI 02904 2013-09-04
1336408723 Emad Awa Pediatrics 1 Randall Sq Ste 404, Providence, RI 02904 2012-05-07
1598036790 Joseph F. Osmanski, Od, Inc Optometrist 1971 Mineral Spring Avenue, N. Providence, RI 02904 2012-01-19
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1235275207 Summit Medical Group Clinic/Center 100 Highland Ave Ste 307, Providence, RI 02906-2753 2007-01-29
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1407222789 Direct Doctors, Inc. Clinic/Center 320 Phillips St Ste 203, North Kingstown, RI 02852-5149 2015-08-20
1386041507 Family Doctor Plus Ri LLC Clinic/Center 553 Kingstown Rd, Wakefield, RI 02879-3600 2014-12-03
1255606844 Concentra Primary Care Pa Clinic/Center 400 Bald Hill Rd, Suite 511, Warwick, RI 02886-1617 2012-03-14
1548538473 Primary Care Partners Clinic/Center 2756 Post Rd, Warwick, RI 02886-3003 2011-12-07
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Competitor

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City NORTH PROVIDENCE
Zip Code 02904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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