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Contact Information

HAVEN HOUSE COMMUNITY SUPPORT CENTER OF PRICE COUNTY
548 N LAKE AVE
PHILLIPS, WI54555
 Phone: 715-339-6449
 Fax: 715-339-6450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for HAVEN HOUSE COMMUNITY SUPPORT CENTER OF PRICE COUNTY

NPI Number 1942473780
LBN Legal business name HAVEN HOUSE COMMUNITY SUPPORT CENTER OF PRICE COUNTY
Authorized official PAMELA OLSON - (CLINICAL COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/11/2008
Last updated 10/20/2008 - About 18 years ago
Identifiers
WI License # 753145419
WI Medicaid 43429400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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