NPIMap

Organization Active NPI

Northwest Community Health Care

Doing business as WellOne Behaviorial Health Services

  • Community/Behavioral Health Agency
  • Pascoag, RI
National Provider Identifier
1194002972
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHWEST COMMUNITY HEALTH CARE
Doing business as
WellOne Behaviorial Health Services
Practice address
1 High Street
Pascoag, RI 02859
Phone
(401) 567-0800
Fax
(401) 567-0900
NPI assigned
Nov 8, 2011
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST COMMUNITY HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter J. Bancroft, CPA
Title
President & Ceo
Phone
(401) 285-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1 High Street
Pascoag, RI 02859

Mailing address

PO Box 312
Pascoag, RI 02859
Phone (401) 567-0800

Other names 1

  • WellOne Behaviorial Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Dental6 organizations share this tax ID, including this one
Part of
Northwest Dental

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1194002972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "02859",
            "telephone_number": "401-567-0800",
            "fax_number": "401-371-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH STREET",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "02859",
            "telephone_number": "401-567-0800",
            "fax_number": "401-567-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COMMUNITY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COMMUNITY HEALTH  CARE",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT &  CEO",
        "authorized_official_telephone_number": "401-285-5119",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellOne Behaviorial Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pascoag, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.