Wellcare Ime, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WELLCARE IME, LLC

Practice address

2825 Fort Missoula Rd
Community BLDG 1, Suite 101
Missoula, MT 59804-7420

Phone

(406) 926-6950

Fax

(406) 926-6951

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jere L Kolstad

Title

Manager

Phone

(406) 926-6950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1922540343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD",
            "address_2": "COMMUNITY BLDG 1, SUITE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047420",
            "telephone_number": "406-926-6950",
            "fax_number": "406-926-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD",
            "address_2": "COMMUNITY BLDG 1, SUITE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047420",
            "telephone_number": "406-926-6950",
            "fax_number": "406-926-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE IME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "KOLSTAD",
        "authorized_official_first_name": "JERE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-926-6950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Simunovich Welch, APRN
• Marin Welch
• Scott Richard Welch
• Stephanie S Welch, MD
• Jessica Ann Weldon, RPH
• Wellness Recovery Group PLLC
• Jane Camerson Wells, M.D., M.H.S.
• Wellspring Health and Aesthetics PLLC
• Welltower Tenant Group LLC
• Roberta (Bobbie) Jeanne Wenderoth, MA, LCPC

• Specialist in Missoula, MT
• Providers in Missoula, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.