| NPI | 1245219070 |
|---|---|
| Doing Business As | WELLONE PRIMARY MEDICAL AND DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DIANE HOPPER VP Of Finance 401-568-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: RI ACF01571) |
| Additional Taxonomies | 261Q00000X (Licence: RI ACF01571) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2012-06-01 |