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WELLONE PRIMARY MEDICAL AND DENTAL CARE
NPI 1821254525
Clinic/Center - Federally Qualified Health Center (FQHC) in Foster, RI

Active since August 01, 2008CLIA 41D0082332 · Microscopy
142A DANIELSON PIKE, FOSTER, RI 02825(401) 647-3702(401) 647-5380 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 1821254525) is a healthcare organization registered as a federally qualified health center (fqhc) in Foster, Rhode Island and active in the NPI registry since August 2008. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Peter J Bancroft, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1821254525
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHWEST COMMUNITY HEALTH CARE
Location Address142A DANIELSON PIKEFoster, RI 02825-1475
Mailing AddressPo Box 312Pascoag, RI 02859 · (401) 568-7664 · Fax (401) 285-5101
Phone(401) 647-3702
Fax(401) 647-5380
Organization SubpartNo
Authorized OfficialPeter J BancroftPresident & Ceo · (401) 285-5119
Enumeration DateAugust 1, 2008
Last NPPES UpdateOctober 21, 2011
✔ NPI 1821254525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
142A DANIELSON PIKE, Foster, RI 02825
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Other Names 1

Doing Business AsWellone Primary Medical And Dental Care

Other Identifiers 2

Medicare PIN411841RI
MedicaidNC50602RI

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) 41D0082332

Northwest Community Health Care Dba Wellone Primary Medical And Dental Care · Foster, RI
Active · expires Aug 31, 2026
CLIA Number41D0082332
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAndrea Marcotte Rnp
Laboratory Phone(401) 647-3702
Laboratory LocationNorthwest Community Health Care Dba Wellone Primary Medical And Dental Care142 A Daineison Pike, Foster, RI 02825
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 9

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

JOETTA STEWART
Dentist (General Practice)
142A DANIELSON PIKE
FOSTER, RI 02825
Providence County (401) 647-3702
DR. KANCHAN PANDE DMD
Dentist
142A DANIELSON PIKE
FOSTER, RI 02825
Providence County (401) 647-3702
LISA MARIE IVENS LMT
Massage Therapist
142A DANIELSON PIKE
FOSTER, RI 02825
Providence County (401) 241-1924
MISSY BUCO APRN
Nurse Practitioner (Family)
142A DANIELSON PIKE
FOSTER, RI 02825
Providence County (401) 647-3702
DONA L DOLAN
Social Worker (Clinical)
142A DANIELSON PIKE, SUITE 3
FOSTER, RI 02825
Providence County (401) 647-2999
MRS. DEANA MARIE GOSSELIN RN
Registered Nurse (Case Management)
142A DANIELSON PIKE
NORTH SCITUATE, RI 02825
Providence County (401) 647-3702
MS. CATHLEEN DEE JADERQUIST-BASSETT NPP
Nurse Practitioner (Primary Care)
142A DANIELSON PIKE
FOSTER, RI 02825
Providence County (401) 647-3702
JESSICA GAWRYS PA
Physician Assistant
142A DANIELSON PIKE
FOSTER, RI 02825
Providence County (401) 647-3702

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 1821254525. It was assigned to this organization in the NPPES registry on August 1, 2008. 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 142A Danielson Pike, Foster, RI 02825. The listed phone number is (401) 647-3702.

What is Northwest Community Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Northwest Community Health Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 41D0082332) is associated with this NPI, valid through August 31, 2026. 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.