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Contact Information

FAMILY MEDICAL CARE ASSOCIATES, S.C.
123 HOSPITAL DR
SUITE 2004
WATERTOWN, WI53098-3331
 Phone: 920-206-7772
 Fax: 920-206-1001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FAMILY MEDICAL CARE ASSOCIATES, S.C.

NPI Number 1386738672
LBN Legal business name FAMILY MEDICAL CARE ASSOCIATES, S.C.
Authorized official MOE CHIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 21633
WI Medicaid 30315300
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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