METHODIST MANOR HEALTH CENTER INC. NPI 1235106576

NPI Information

NPI: 1235106576
Provider Name: METHODIST MANOR HEALTH CENTER INC.

Doing Business As: OLSEN MEDICAL CLINIC - TRINITY

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
7300 W DEAN RD
MILWAUKEE, WI
ZIP 53223
Phone: (414) 371-7363
Get Directions

METHODIST MANOR HEALTH CENTER INC. is a health service clinic center in Milwaukee, WI. METHODIST MANOR HEALTH CENTER INC. NPI is 1235106576. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Olsen Medical Clinic - Trinity.

The provider's business location address is:

7300 W DEAN RD
MILWAUKEE, WI
ZIP 53223-637
Phone: (414) 371-7363
Fax: (414) 371-7334

The provider's authorized official is James Enlund .
The authorized official title is President & Ceo and has the following contact phone number (414) 607-4100.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 4/8/2009.

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 State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	WISCONSIN	No
2	261Q00000X	Clinic/Center		WISCONSIN	No
3	261QM0850X	Clinic/Center	Adult Mental Health	WISCONSIN	No
4	261QP2000X	Clinic/Center	Physical Therapy	WISCONSIN	No
5	261QR0400X	Clinic/Center	Rehabilitation	WISCONSIN	No
6	261QX0100X	Clinic/Center	Occupational Medicine	WISCONSIN	No
7	261QH0100X	Clinic/Center	Health Service	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	WISCONSIN	TAX ID#
2	20194100	MEDICAID	WISCONSIN
3	525498	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MEDICARE/FEDERAL ID#

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »