Provider Demographics
NPI:1770611949
Name:WE HEALTH CLINIC, P.A.
Entity type:Organization
Organization Name:WE HEALTH CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-727-3352
Mailing Address - Street 1:32 E 1ST ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-3005
Mailing Address - Country:US
Mailing Address - Phone:218-727-3352
Mailing Address - Fax:218-727-5850
Practice Address - Street 1:32 E 1ST ST STE 300
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-3005
Practice Address - Country:US
Practice Address - Phone:218-727-3352
Practice Address - Fax:218-727-5850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN110509Medicaid
MN75380 WOOtherBLUE CROSS BLUE SHIELD OF
MN0114923OtherMEDICA KATIE EGGLESTON MD
MN162012600Medicaid
MN33051OtherHEALTH PARTNERS
MN33051OtherHEALTH PARTNERS