Organization
WELCORE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY J SOEBY MPA, CPHC, MT, SC (OWNER)
(701) 746-5359
Entity
Organization
Contact information
Practice address
718 OAK ST, GRAND FORKS, ND 58201-4460
(701) 746-5359
(701) 746-5359
Mailing address
718 OAK ST, GRAND FORKS, ND 58201-4460
(701) 746-5359
(701) 746-5359
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N716915
MEDICARE PTAN
ND
Enumeration date
03/09/2011
Last updated
05/25/2012
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