Provider Demographics
NPI:1619236023
Name:THE WECARE GROUP, INC.
Entity Type:Organization
Organization Name:THE WECARE GROUP, INC.
Other - Org Name:WE CARE - SCOTIA BLUFFS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:AULTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-764-5617
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:CA
Mailing Address - Zip Code:95565-0007
Mailing Address - Country:US
Mailing Address - Phone:707-764-5617
Mailing Address - Fax:707-783-3511
Practice Address - Street 1:115 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:CA
Practice Address - Zip Code:95565-0001
Practice Address - Country:US
Practice Address - Phone:707-764-5617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230000060261QF0400X
261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551128OtherMEDICARE OSCAR/CERTIFICATION
CAFHC70040FMedicaid
CARHM70040FMedicaid