WELLCAREAMERICA LLC (NPI# 1578918116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578918116 |
Entity Type | Organization |
Organization Name | WELLCAREAMERICA LLC |
Practice Address |
800 Park Offices Dr Suite 3303 Durham NC 27709 |
Mailing Address |
Po Box 12544 Durham NC 27709-2544 |
Practice Telephone | 8008322108 |
Practice Fax Number | 8446566962 |
Mailing Telephone | 8002322108 |
Mailing Fax Number | 8446566962 |
Enumeration Date | 2016-05-02 |
Last Update Date | 2017-06-20 |
Authorized Official Name | VALLI KODALI (MANAGER) |
Authorized Official Telephone | 8002322108 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
Street Address |
800 PARK OFFICES DR SUITE 3303 |
City | DURHAM |
State | NC |
Zip Code | 27709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952329 | Mary Louise Health & Home Care Services, LLC | In Home Supportive Care | 600 Park Offices Drive Suite 300, 600 Park Offices Drive Suite 300, Durham, NC 27709 | 2020-08-13 |
1447774641 | Metamark Genetics, Inc | Clinical Medical Laboratory | 1912 Tw Alexander Drive Rooms 243 & 250, Durham, NC 27709 | 2017-07-29 |
1003285164 | Global Mental Health and Substance Abuse Agency | Community/Behavioral Health | 65 Tw Alexander Drive, Durham, NC 27709 | 2015-09-18 |
1811363674 | Unc Physicians Network, LLC | Non-Pharmacy Dispensing Site | 7100-9 Kit Creek Road, Research Triangle Park, NC 27709 | 2015-08-17 |
1992073431 | Elena Atchley | Nurse Practitioner | 100 New Millennium Way, Durham, NC 27709 | 2011-12-12 |
1487957593 | Excel Home Health Inc | Home Health | 4310 South Miami Blvd, Research Triangle Park, NC 27709 | 2010-12-10 |
1225270606 | Lixia Liu | Pathology | 1912 Alexander Dr., Rtp, NC 27709 | 2009-03-31 |
1134378045 | Eileen Wang Dds Pllc | Dentist | 4300 Garret Road, Suite D, Durham, NC 27709 | 2008-09-16 |
1194900142 | National Institutes of Health | Clinical Medical Laboratory | 79 T.w. Alexander Dr, Room 3444c, Research Triangle Park, NC 27709 | 2008-01-08 |
1942490040 | Matthew P Longnecker | Internal Medicine | 111 Tw Alexander Dr, Bldg 101 Room A358, Research Triangle Pk, NC 27709 | 2007-07-26 |
Find all providers in zip 27709 |
Taxonomy Code | 261QR0206X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology, Mammography |
Definition to come... |
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1275584179 | Presbyterian Breast Center LLC | Clinic/Center | 14215 Ballantyne Corporate Place, Ste 140, Charlotte, NC 28277-3146 | 2006-05-15 |
1013269653 | Hoke Imaging | Clinic/Center | 300 Medical Pavilion Drive, Raeford, NC 28376 | 2012-10-05 |
1043352594 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
1033160973 | Presbyterian Breast Center, LLC | Clinic/Center | 16525 Holly Crest Ln, Ste 130, Huntersville, NC 28078-4909 | 2006-05-15 |
1558312413 | Presbyterian Breast Center, LLC | Clinic/Center | 8401 Medical Plaza Dr, Charlotte, NC 28262-8797 | 2006-05-15 |
1104877356 | Foundation Health Systems, Corp | Clinic/Center | 2025 Frontis Plaza Blvd, Ste 300, Winston-salem, NC 27103-5663 | 2006-05-12 |
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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.