Wellmark Non-Emergency Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WELLMARK NON-EMERGENCY TRANSPORTATION LLC

Practice address

801 E River Rd
# 217
Anoka, MN 55303-2800

Phone

(763) 744-6244

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Damaris Mokeira Osebe

Title

Manager

Phone

(763) 744-6244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1942678164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E RIVER RD",
            "address_2": "# 217",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032800",
            "telephone_number": "763-744-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E RIVER RD",
            "address_2": "# 217",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032800",
            "telephone_number": "763-744-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMARK NON-EMERGENCY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "OSEBE",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_middle_name": "MOKEIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-744-6244"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Dean Weight, LICSW
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• Timothy Michal Welch, H.I.D.
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• Elizabeth Joy Wienke, M.A.
• Mona Wigen, CMT

• Non-emergency Medical Transport (VAN) in Anoka, MN
• Providers in Anoka, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.