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Contact Information

SAINT-MARK ENTERPRISES 1798 LLC
300 SUPERIOR AVENUE
TOMAH, WI54660
 Phone: 608-372-2101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for SAINT-MARK ENTERPRISES 1798 LLC

NPI Number 1619114931
LBN Legal business name SAINT-MARK ENTERPRISES 1798 LLC
Authorized official MARK MILLER - (OFFICER / MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2009
Last updated 01/29/2024 - About 2 years ago
Identifiers
WI Medicaid 100002221
Other 5131355 NCPDP #
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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