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MILWAUKEE HEALTH SERVICES SYSTEM LLC NPI 1336247139


NPI Information

NPI: 1336247139
Provider Name: MILWAUKEE HEALTH SERVICES SYSTEM, LLC

Doing Business As: WAUSAU COMPREHENSIVE TREATMENT CENTER

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
210 WASHINGTON ST.
WAUSAU, WI
ZIP 54403
Phone: (715) 845-3637
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MILWAUKEE HEALTH SERVICES SYSTEM, LLC is a methadone clinic center in Wausau, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. MILWAUKEE HEALTH SERVICES SYSTEM, LLC NPI is 1336247139. The provider is registered as an organization entity type.
The provider Is Doing Business As Wausau Comprehensive Treatment Center.

The provider's business location address is:

210 WASHINGTON ST.
WAUSAU, WI
ZIP 54403-475
Phone: (715) 845-3637
Fax: (715) 845-1977

The provider's authorized official is Kim Sanderson .
The authorized official title is President, Ctc Division and has the following contact phone number (855) 259-2288.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/19/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadone2408WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142024500MEDICAIDWISCONSIN
242229200MEDICAIDWISCONSIN
334657600MEDICAIDWISCONSIN
439380300MEDICAIDWISCONSIN
542020800MEDICAIDWISCONSIN
642015800MEDICAIDWISCONSIN
710005631MEDICAIDWISCONSIN
839350000MEDICAIDWISCONSIN
943030000MEDICAIDWISCONSIN
1043701100MEDICAIDWISCONSIN

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: 11/14/2023

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