Organization
WELLCARE MEDICAL LLC
Active
Parent organization
CONSOLIDATED HEALTHCARE SERVICES LLC
Other names
WellCare Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSOLIDATED HEALTHCARE SERVICES LLC
Authorized official
RICHARD J ZUNKER (OWNER)
(763) 780-0100
Entity
Organization
Contact information
Practice address
8400 CORAL SEA STREET NE, STE 200, MOUNDS VIEW, MN 55112
(763) 780-0100
(763) 780-0420
Mailing address
8400 CORAL SEA STREET NE, STE 200, MOUNDS VIEW, MN 55112
(763) 780-0100
(763) 780-0420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
01/27/2023
Last updated
04/14/2023
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