Organization
THE WECARE GROUP, INC.
Active
Parent organization
THE WECARE GROUP, INC.
Other names
WeCare at Trinity Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WECARE GROUP, INC.
Authorized official
HEATHER AULTMAN (COO)
(707) 764-5617
Entity
Organization
Contact information
Practice address
100 HORSESHOE LANE, WEAVERVILLE, CA 96093
(530) 623-8888
(530) 623-8887
Mailing address
PO BOX 7, SCOTIA, CA 95565-0007
(707) 764-5617
(707) 783-5618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051026
—
CA
05
—
FHC70040F
—
CA
05
—
RHM70040F
—
CA
01
—
ZZZ80700Z
MEDICARE PIN
CA
Enumeration date
02/28/2019
Last updated
08/06/2024
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