# WELLCAREAMERICA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578918116
- **Authorized official:** MICHAEL DYER (PRESIDENT)
- **Authorized official phone:** (877) 318-1349

## Contact information

- **Practice address:** 11220 ELM LN STE 200, CHARLOTTE, NC 28277-0450
- **Practice address phone:** (877) 318-1349
- **Practice address fax:** (919) 354-2936
- **Mailing address:** PO BOX 13219, DURHAM, NC 27709-3219
- **Mailing address phone:** (877) 318-1349
- **Mailing address fax:** (919) 354-2936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0207X | Mobile Mammography Clinic/Center | — | NULL | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 01/07/2026
