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Contact Information

N.E.W. COMMUNITY CLINIC, LTD
610 N BROADWAY
GREEN BAY, WI54303-3426
 Phone: 920-437-7206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for N.E.W. COMMUNITY CLINIC, LTD

NPI # 1487878328
LBN Legal business name N.E.W. COMMUNITY CLINIC, LTD
Authorized official KEITH SZERKINS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 08/21/2024 - More than a year ago
Identifiers
WI Medicaid 100078454
WI Medicaid 100078475
WI Medicaid 100078554
WI Medicaid 32957300
WI Medicaid 41860101
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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