MILWAUKEE HEALTH SERVICES SYSTEM LLC NPI 1700050085

NPI Information

NPI: 1700050085
Provider Name: MILWAUKEE HEALTH SERVICES SYSTEM, LLC

Doing Business As: APPLETON COMPREHENSIVE TREATMENT CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3301 N BALLARD RD STE B
APPLETON, WI
ZIP 54911
Phone: (920) 733-4443
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MILWAUKEE HEALTH SERVICES SYSTEM, LLC is a rehabilitation and substance use disorder clinic center in Appleton, WI. MILWAUKEE HEALTH SERVICES SYSTEM, LLC NPI is 1700050085. The provider is registered as an organization entity type.
The provider Is Doing Business As Appleton Comprehensive Treatment Center.

The provider's business location address is:

3301 N BALLARD RD STE B
APPLETON, WI
ZIP 54911-002
Phone: (920) 733-4443
Fax: (920) 733-4796

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 4/17/2008 and was last updated on 7/16/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	1962	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	42225500	MEDICAID	WISCONSIN

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

NPI Synchronization or Removal

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