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Contact Information

MILWAUKEE HEALTH SERVICES, INC.
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI53212-2709
 Phone: 414-267-2021
 Fax: 414-372-7420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for MILWAUKEE HEALTH SERVICES, INC.

NPI # 1316980709
LBN Legal business name MILWAUKEE HEALTH SERVICES, INC.
Authorized official TITO IZARD - (PRESIDENT CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 04/05/2016 - About 10 years ago
Identifiers
WI License # 8681-42
WI Medicaid 32958200
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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