Welia Health
Organization Active NPI Critical Access Hospital · Mora, MN
NPI 1528031390 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1528031390
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- WELIA HEALTH
- Practice address
- 301 Highway 65 S
Mora, MN 55051-1899 - Phone
- (320) 679-1212
- Fax
- (320) 225-3345
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Randy Ulseth
- Title
- Ceo
- Phone
- (320) 679-1212
Owners & managing parties with NPI records 1
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 5
Subparts reporting this organization as parent 6
Member of 1
Related certifications (CCN) 3
Practitioners 210
-
Matthew Gordon Allen, M.D.
-
David Bidle, MD
-
Tanya Lynn Carlson, AGPCNP
-
Andrew M Clary, D.O.
-
Heidi Sue Deutschlander, RN, CNP
-
Ryan Jon Gaalswyk, M.D.
-
Matthew James Hamiel, CRNA
-
Erika Kay Herges, CNP
-
Chad Austin Holien, M.D.
-
Shih-an John Hsieh, M.D.
-
Beth Ann Kempf, NP
-
Shannon Marie Koski, CNP
-
David William Kroll, CRNA
-
Ryan Richard Kroschel, M.D.
-
Reed R Larson, PA-C
Affiliated clinicians 192
-
Raed H Abdelhadi, MD
-
Haley Marie Adasiewicz, PA-C
-
Abdelwahaab Akef, M.D.
-
Joseph W. Akornor, M.D.
-
Jayasri Alapati, MD
-
Matthew Gordon Allen, M.D.
-
Greg Alan Andrle, DO
-
Michael James Annen, M.D.
-
Mosi Kadin Bennett, M.D. PH.D.
-
John T Berquist, DO
-
David Bidle, MD
-
Andrew Bowen, M.D.
-
Kathleen Carlson, M.D.
Medicare Care Compare: Hospital
- Listed as
- Welia Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Hospital certification: CCN 241367
- Legal name
- WELIA HEALTH
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Apr 1, 2005
- Last certification
- Feb 9, 2005
- Beds
- 49 (25 certified)
- Ownership / control type
- Local
- Most recent change of ownership
- Jul 1, 2021 (2 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 13, 2020 in MN
- Enrollment address
- 301 Highway 65 S
Mora, MN 55051-1899
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Peter J Donner |
Corporate Director |
Jul 1, 2021 | 11.11% |
| Kim E Smith |
Corporate Director |
Jul 1, 2021 | 11.11% |
| Mary K Ellis |
Corporate Director |
Jul 1, 2021 | 11.11% |
| Amy a Anderson |
Corporate Director |
Jul 1, 2021 | 11.11% |
| Julie J Schmidt |
Corporate Officer |
Jul 16, 2019 | 20% |
| Rebecca L Steffen |
Corporate Director |
Jul 1, 2021 | 11.11% |
| Sandra Zutz-Wiczek |
Corporate Officer |
Jan 12, 2015 | 20% |
| Theresa a Heggernes |
Corporate Director |
Jul 1, 2021 | 11.11% |
| Joshua R Asp |
Corporate Officer |
Sep 26, 2016 | 20% |
| Randy W Ulseth |
Corporate Officer |
Jan 1, 2002 | 20% |
| Sheila L Peterson |
W-2 Managing Employee | Jul 1, 2021 | |
| Jack D Schwinghamer |
Corporate Director |
Jul 1, 2021 | 11.11% |
| Carl O Pederson |
Corporate Director |
Jul 1, 2021 | 11.11% |
| Ellen K Ryan |
Corporate Officer |
Aug 14, 1995 | 20% |
| Leslie B Nielsen |
Corporate Director |
Jul 1, 2021 | 11.11% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210722002959 | MN | Part a Provider - Critical Access Hospital | 6709295496 |
Receives reassigned benefits from 147 practitioners 1 other NPI on this enrollment Practice locations: Mora, MN |
| O20220125001227 | MN | Part B Supplier - Clinic/Group Practice | 6709295496 |
Receives reassigned benefits from 181 practitioners 3 other NPIs on this enrollment Practice locations: Mora, MN; Pine City, MN; Hinckley, MN |
National Provider Directory
Locations
620 Sandy Ln
Hinckley, MN 55037
Phone (320) 384-6189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
301 Highway 65 S
Mora, MN 55051-1899
Mailing address
301 Highway 65 S
Mora, MN 55051-1899
Phone (320) 679-1212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1469 | Other | MN | HEALTH PARTNER |
| 50 06114 | Other | MN | MEDICA |
| 108745200 | Medicaid | MN | |
| 300121 | Other | MN | UCARE |
| 1760HKA | Other | MN | BLUE CROSS |
Other names
- Welia Health
Other providers in Mora, MN
- Katie Lorraine Voss
- Lori K Voss
- Linda Marie Walinski
- Michael Graham Waxlax
- Robert M. Weeks
- Welia Health
- Welia Health
- Welia Health
- Bethany Josine Werner
- Carissa Joyce White
All providers in Mora, MN · Critical Access Hospital in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.