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LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN INC. NPI 1144995077


NPI Information

NPI: 1144995077
Provider Name: LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.

Doing Business As: SAUK/COLUMBIA IOP PROGRAM

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
414 BROADWAY ST STE 101
BARABOO, WI
ZIP 53913
Phone: (608) 448-1011
Get Directions

LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. is a multi-specialty clinic center in Baraboo, WI. LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. NPI is 1144995077. The provider is registered as an organization entity type.
The provider Is Doing Business As Sauk/columbia Iop Program.

The provider's business location address is:

414 BROADWAY ST STE 101
BARABOO, WI
ZIP 53913-488
Phone: (608) 448-1011
Fax: (608) 355-4106

The provider's authorized official is Steven John Pietroske .
The authorized official title is Director - Financial Operations and has the following contact phone number (414) 246-2565.

The enumeration date for this NPI number is 8/12/2021 and was last updated on 5/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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