FAMILY MEDICAL CARE ASSOCIATES S.C. NPI 1386738672

NPI Information

  • NPI: 1386738672
  • Provider Name: FAMILY MEDICAL CARE ASSOCIATES, S.C.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 123 HOSPITAL DR
    SUITE 2004
    WATERTOWN, WI
    ZIP 53098
  • Phone: (920) 206-7772

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NPI Details

FAMILY MEDICAL CARE ASSOCIATES, S.C. is a geriatric medicine family medicine in Watertown, WI. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. FAMILY MEDICAL CARE ASSOCIATES, S.C. NPI is 1386738672. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

123 HOSPITAL DR
SUITE 2004
WATERTOWN, WI
ZIP 53098-331
Phone: (920) 206-7772
Fax: (920) 206-1001

The provider's authorized official is Moe Louie Chin .
The authorized official title is President and has the following contact phone number (920) 206-7772.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.

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
1207QG0300XFamily MedicineGeriatric Medicine21633WISCONSINYes

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
130315300MEDICAIDWISCONSIN

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: 3/30/2025

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