WELLONE PRIMARY MEDICAL AND DENTAL CARE
NPI 1245219070
Clinic/Center - Federally Qualified Health Center (FQHC) in Pascoag, RI

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

Active since January 11, 2006

36 BRIDGE WAY, PASCOAG, RI 02859(401) 567-0800(401) 567-0900 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Wellone Primary Medical And Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLONE PRIMARY MEDICAL AND DENTAL CARE (NPI 1245219070) is a healthcare organization registered as a federally qualified health center (fqhc) in Pascoag, Rhode Island and active in the NPI registry since January 2006. The organization lists Diane Hopper, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1245219070

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHWEST COMMUNITY HEALTH CARE

Location Address36 BRIDGE WAYPascoag, RI 02859

Mailing AddressPo Box 312Pascoag, RI 02859 · (401) 567-0800 · Fax (401) 567-0900

Phone(401) 567-0800

Fax(401) 567-0900

Organization SubpartNo

Authorized OfficialDiane HopperVp Of Finance · (401) 568-7664

Enumeration DateJanuary 11, 2006

Last NPPES UpdateJune 1, 2012

✔ NPI 1245219070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in RI · ACF01571

Also ListedClinic/CenterTaxonomy 261Q00000X · License ACF01571 (RI)

36 BRIDGE WAY, Pascoag, RI 02859

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Other Names 1

Doing Business AsWellone Primary Medical And Dental Care

Other Identifiers 3

MedicaidNC50602RI

Medicare PIN411814RI

Medicare OSCAR/certification709004025RI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN K MULLANEY RNP

Nurse Practitioner