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Contact Information

BENEVOLENT CORPORATION CEDAR COMMUNITY
5595 COUNTY ROAD Z
WEST BEND, WI53095-9224
 Phone: 262-306-2140
 Fax: 262-306-2141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BENEVOLENT CORPORATION CEDAR COMMUNITY

NPI Number 1154321602
LBN Legal business name BENEVOLENT CORPORATION CEDAR COMMUNITY
Authorized official JOSEPH PICHLER - (VICE PRESIDENT OF FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/27/2005
Last updated 12/30/2020 - About 5 years ago
Identifiers
WI License # 5115503
WI Medicaid 33027100
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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