CITY OF CUDAHY NPI 1568684058

NPI Information

  • NPI: 1568684058
  • Provider Name: CITY OF CUDAHY
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: CUDAHY HEALTH DEPARTMENT
  • CLIA Number: 52D0696920
  • Address: 5050 SOUTH LAKE DRIVE
    CUDAHY, WI
    ZIP 53110
  • Phone: (414) 769-2239

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NPI Details

CITY OF CUDAHY is a primary care clinic center in Cudahy, WI. CITY OF CUDAHY NPI is 1568684058. The provider is registered as an organization entity type.
The provider Is Doing Business As Cudahy Health Department.

The provider's business location address is:

5050 SOUTH LAKE DRIVE
CUDAHY, WI
ZIP 53110
Phone: (414) 769-2239
Fax: (414) 769-2291

The provider's authorized official is Kaite Marie Lepak .
The authorized official title is Health Officer and has the following contact phone number (414) 769-2239.

The CLIA number assigned to this NPI record is 52D0696920 - public health laboratories with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/4/2018.

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
1251B00000XCase ManagementNo
2251K00000XPublic Health or WelfareNo
3261QF0050XClinic/CenterFamily Planning, Non-SurgicalWISCONSINNo
4261QP2300XClinic/CenterPrimary CareWISCONSINYes

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
143085000MEDICAIDWISCONSIN
244017000MEDICAIDWISCONSIN
341863100MEDICAIDWISCONSIN

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: 11/21/2025

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