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Contact Information

BELLICOSE INTERNATIONAL INC.
122 W MADISON AVE
GRANTSBURG, WI54840-7022
 Phone: 715-463-2525
 Fax: 715-463-5343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BELLICOSE INTERNATIONAL INC.

NPI Number 1528625985
LBN Legal business name BELLICOSE INTERNATIONAL INC.
Authorized official CHRISTOPHER WITZANY - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2019
Last updated 09/25/2023 - About 3 years ago
Identifiers
WI Medicaid 33154200
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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