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Contact Information

HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY
2400 MARSHALL ST STE A
WAUSAU, WI54403-6738
 Phone: 715-848-4600
 Fax: 715-845-5398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY

NPI Number 1841308186
LBN Legal business name HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY
Authorized official GARY OLSEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2006
Last updated 10/20/2023 - About 3 years ago
Identifiers
WI Medicaid 33189500
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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