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WELLONE PRIMARY MEDICAL AND DENTAL CARE
NPI 1801951397
Clinic/Center - Community Health in N. Kingstown, RI

Active since December 26, 2006CLIA 41D0868361 · Microscopy
308 CALLAHAN RD, N. KINGSTOWN, RI 02852(401) 295-9706(401) 295-0920 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1801951397) is a healthcare organization registered as a community health in N. Kingstown, Rhode Island and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through July 6, 2027 and lists Peter J. Bancroft, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1801951397
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameNORTHWEST COMMUNITY HEALTH CARE
Location Address308 CALLAHAN RDN. Kingstown, RI 02852-7739
Mailing AddressPo Box 312Pascoag, RI 02859 · (401) 568-7664 · Fax (401) 285-5101
Phone(401) 295-9706
Fax(401) 295-0920
Organization SubpartNo
Authorized OfficialPeter J. BancroftPresident & Ceo · (401) 285-5119
Enumeration DateDecember 26, 2006
Last NPPES UpdateOctober 21, 2011
✔ NPI 1801951397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Licenses✔ Licensed in RI · ACF01597✔ Licensed in RI · ACF01530
308 CALLAHAN RD, N. Kingstown, RI 02852
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Other Names 1

Doing Business AsWellone Primary Medical And Dental Care

Other Identifiers 4

MedicaidNC50602RI
MedicaidBS41307RI
Medicare PIN411816RI
MedicaidBS41305RI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D0868361

Northwest Community Health Care Dba Wellone Primary Medical And Dental Care · North Kingstown, RI
Active · expires Jul 6, 2027
CLIA Number41D0868361
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorAndrea Marcotte Rnp
Laboratory Phone(401) 295-9706
Laboratory LocationNorthwest Community Health Care Dba Wellone Primary Medical And Dental Care308 Callahan Rd, North Kingstown, RI 02852
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 16

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

MRS. JENNIFER A UGBAH CNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
308 CALLAHAN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-9706
ANDREA VALI MD
Pediatrics
308 CALLAHAN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-9706
PETER WILKINSON APRN, NP-C
Nurse Practitioner (Family)
308 CALLAHAN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-9706
DR. MELISSA B GRASWALD DMD
Dentist (General Practice)
308 CALLAHAN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-9706
MICHALA LYNN JORRIN CRNP
Nurse Practitioner (Family)
308 CALLAHAN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-9706
MRS. JO ANN R. STENGEL RN, RNP
Nurse Practitioner (Family)
308 CALLAHAN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-9706
SUSAN ELIZABETH TAFT M.D.
Family Medicine
308 CALLAHAN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-9706
MS. CAROLYN COTE NP
Nurse Practitioner (Family)
308 CALLAHAN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-9706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Community Health Care's NPI number?

The NPI number for Northwest Community Health Care is 1801951397. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Wellone Primary Medical And Dental Care.

Where is Northwest Community Health Care located?

Northwest Community Health Care is located at 308 Callahan Rd, N. Kingstown, RI 02852. The listed phone number is (401) 295-9706.

What is Northwest Community Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Northwest Community Health Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 41D0868361) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Community Health Care was last updated on October 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.