| Welscare Llc | |
|
1250 E 3900 S Ste 440 Salt Lake City UT 84124-1349 | |
| (801) 869-4100 | |
| (801) 869-4119 |
| Full Name | Welscare Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1250 E 3900 S Ste 440, Salt Lake City, Utah |
| Authorized Official Name and Position | Brad Liljenquist (PRESIDENT) |
| Authorized Official Contact | 8014202516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Welscare Llc 131 E Cascade Ave Alpine UT 84004-2518 Ph: () - | Welscare Llc 1250 E 3900 S Ste 440 Salt Lake City UT 84124-1349 Ph: (801) 869-4100 |
| NPI Number | 1831961804 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 02/12/2024 |
| Medicare PECOS PAC ID | 6901253780 |
|---|---|
| Medicare Enrollment ID | O20231116000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831961804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Nan Hodge |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699863332 PECOS PAC ID: 6103885157 Enrollment ID: I20041006000668 |
| Provider Name | Carla Knighton Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588297360 PECOS PAC ID: 6901236868 Enrollment ID: I20200417001337 |
| Provider Name | Rachael A Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518575695 PECOS PAC ID: 0941610315 Enrollment ID: I20201113002073 |
| Provider Name | Amanda Henseler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548842800 PECOS PAC ID: 6709280787 Enrollment ID: I20210812003581 |
| Provider Name | Ryan A Unger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891926440 PECOS PAC ID: 8628227568 Enrollment ID: I20230419000702 |
| Provider Name | Karen Stones Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598475303 PECOS PAC ID: 6608221734 Enrollment ID: I20231010003165 |
| Provider Name | Eric Joseph Thomas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306107313 PECOS PAC ID: 0840505871 Enrollment ID: I20240105002771 |
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