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SEEDS OF HEALTH INC NPI 1659536571


NPI Information

NPI: 1659536571
Provider Name: SEEDS OF HEALTH, INC

Other Name: SEEDS OF HEALTH WIC

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 52D0868384

Address:
1445 S 32ND ST
MILWAUKEE, WI
ZIP 53215
Phone: (414) 385-5611
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SEEDS OF HEALTH, INC is a public health or welfare in Milwaukee, WI. SEEDS OF HEALTH, INC NPI is 1659536571. The provider is registered as an organization entity type.
The provider Other Name Is Seeds Of Health Wic.

The provider's business location address is:

1445 S 32ND ST
MILWAUKEE, WI
ZIP 53215-903
Phone: (414) 385-5611
Fax: (414) 672-6885

The provider's authorized official is Christine Ann Murr .
The authorized official title is Wic Program Director and has the following contact phone number (414) 385-5611.

The CLIA number assigned to this NPI record is 52D0868384 - other - wic clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 2/6/2012.


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
1251B00000XCase Management251B00000XWISCONSINNo
2251S00000XCommunity/Behavioral Health251S00000XWISCONSINNo
3251K00000XPublic Health or Welfare25734595WISCONSINYes

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
144012300MEDICAIDWISCONSIN

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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