WELIA HEALTH PINE CITY
NPI 1992012207
Clinic/Center - Rural Health in Pine City, MN

NPI Status: Active since September 08, 2010

Contact Information

1425 MAIN STREET NORTH
PINE CITY, MN
ZIP 55063
Phone: (320) 629-7505
Fax: (320) 629-2202

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 24D0398438
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 01-03-2026

About WELIA HEALTH PINE CITY

This page provides the complete NPI Profile along with additional information for Welia Health Pine City, a primary care provider established in Pine City, Minnesota operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1992012207 assigned on September 2010. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Welia Health Pine City. The authorized official of this NPI record is Randy Ulseth (Ceo)

NPI
1992012207
Provider Legal Name
WELIA HEALTH
Other Organization Name
WELIA HEALTH PINE CITY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1425 MAIN STREET NORTH PINE CITY, MN 55063
Location Phone
(320) 629-7505
Location Fax
(320) 629-2202
Mailing Address
301 HIGHWAY 65 S MORA, MN 55051
Mailing Phone
(320) 679-1212
Mailing Fax
(320) 629-2202
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-08-2010
Last Update Date
07-20-2021
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A primary care provider (PCP) like Welia Health Pine City sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Welia Health Pine City is a medicare supplier with PTAN 20405381 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDY ULSETH

Authorized Official Title
CEO
Authorized Official Phone
(320) 679-1212

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20405381
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0398438
Facility Type
Rural Health Clinic
Certificate Effective Date
January 04, 2024
Certificate Expiration Date
January 03, 2026
Laboratory Director
DR. ANDREA B. CONWAY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Welia Health Pine City on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992012207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918201420
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 0 + 1 + 4 + 2 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1992012207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992012207, enumerated in the NPI registry as an "organization" on September 08, 2010

The provider is located at 1425 Main Street North Pine City, Mn 55063 and the phone number is (320) 629-7505

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 24D0398438 for a "rural health clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on September 08, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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