GERALD L. IGNACE INDIAN HEALTH CENTER INC. NPI 1447657739

NPI Information

NPI: 1447657739
Provider Name: GERALD L. IGNACE INDIAN HEALTH CENTER, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1711 S 11TH ST
MILWAUKEE, WI
ZIP 53204
Phone: (414) 383-9526
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GERALD L. IGNACE INDIAN HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Milwaukee, WI. GERALD L. IGNACE INDIAN HEALTH CENTER, INC. NPI is 1447657739. The provider is registered as an organization entity type.

The provider's business location address is:

1711 S 11TH ST
MILWAUKEE, WI
ZIP 53204-310
Phone: (414) 383-9526
Fax: (414) 389-3881

The provider's authorized official is Lyle A Ignace .
The authorized official title is Executive Director and has the following contact phone number (414) 383-9526.

The enumeration date for this NPI number is 12/2/2014 and was last updated on 12/2/2014.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	3040	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	000073805	MEDICARE PIN

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

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