Provider Demographics
NPI:1528031390
Name:WELIA HEALTH
Entity Type:Organization
Organization Name:WELIA HEALTH
Other - Org Name:WELIA HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ULSETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-679-1212
Mailing Address - Street 1:301 HIGHWAY 65 S
Mailing Address - Street 2:
Mailing Address - City:MORA
Mailing Address - State:MN
Mailing Address - Zip Code:55051-1899
Mailing Address - Country:US
Mailing Address - Phone:320-679-1212
Mailing Address - Fax:320-225-3345
Practice Address - Street 1:301 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:MORA
Practice Address - State:MN
Practice Address - Zip Code:55051-1899
Practice Address - Country:US
Practice Address - Phone:320-679-1212
Practice Address - Fax:320-225-3345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1469OtherHEALTH PARTNER
MN50 06114OtherMEDICA
MN108745200Medicaid
MN300121OtherUCARE
MN1760HKAOtherBLUE CROSS
MN24Z367Medicare Oscar/Certification
MN1760HKAOtherBLUE CROSS
MNC06062Medicare ID - Type UnspecifiedMEDICARE PART B PROVIDER