WELLCAREAMERICA LLC


Address: 800 Park Offices Dr, Suite 3303, Durham, NC 27709
Phone: 8008322108

WELLCAREAMERICA LLC (NPI# 1578918116) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0206X Clinic/Center
Specialization: Radiology, Mammography
Ambulatory Health Care Facilities

Office Location

Street Address 800 PARK OFFICES DR
SUITE 3303
City DURHAM
State NC
Zip Code 27709

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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
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Taxonomy Information

Taxonomy Code 261QR0206X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mammography

Taxonomy Definition

Definition to come...

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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
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Competitor

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City DURHAM
Zip Code 27709

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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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