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Contact Information

CORCORAN HEALTHCARE ENT INC
301 E 2ND ST
RICHLAND CENTER, WI53581-1900
 Phone: 608-647-8806
 Fax: 608-647-2029
 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 CORCORAN HEALTHCARE ENT INC

NPI # 1164974036
LBN Legal business name CORCORAN HEALTHCARE ENT INC
Authorized official PAUL CORCORAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2016
Last updated 11/10/2016 - About 10 years ago
Identifiers
WI License # 7973-042
WI Medicaid 33168200
WI Other B08230661 CEDI TRADING PARTNER
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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