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Contact Information

MILWAUKEE CENTER FOR INDEPENDENCE
2020 W WELLS ST
MILWAUKEE, WI53233-2720
 Phone: 414-937-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
Indicates primary specialty

NPI Profile & details for MILWAUKEE CENTER FOR INDEPENDENCE

NPI Number 1245376748
LBN Legal business name MILWAUKEE CENTER FOR INDEPENDENCE
Authorized official ANDREW MAULE - (DIRECTOR OF BUSINESS OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 05/08/2024 - About 2 years ago
Identifiers
WI Medicaid 32782100
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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