NPIMap

Organization Active NPI

Welcore Health,LLC

  • Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1508115361
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
R11385 Issued in ND
Legal business name
WELCORE HEALTH,LLC
Practice address
1720 Willow Dr
Grand Forks, ND 58201-8107
Phone
(701) 772-8782
NPI assigned
Sep 7, 2012
Last updated
Sep 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Mrs. Kathleen J Hertel
Title
RN
Phone
(701) 772-8782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X R11385 ND Primary

Addresses

Primary practice location

1720 Willow Dr
Grand Forks, ND 58201-8107

Mailing address

1720 Willow Dr
Grand Forks, ND 58201-8107
Phone (701) 772-8782

National Provider Directory

National Provider Directory
Tax ID family
Welcore3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1508115361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WILLOW DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018107",
            "telephone_number": "701-772-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 WILLOW DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018107",
            "telephone_number": "701-772-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCORE HEALTH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "HERTEL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "701-772-8782",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "R11385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.