CHILDREN'S HEALTH SYSTEM INC. NPI 1780155275

NPI Information

NPI: 1780155275
Provider Name: CHILDREN'S HEALTH SYSTEM, INC.

Doing Business As: CHILDREN'S URGENT CARE - KENOSHA

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
6809 122ND AVENUE
KENOSHA, WI
ZIP 54342
Phone: (262) 891-6600
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CHILDREN'S HEALTH SYSTEM, INC. is an urgent care clinic center in Kenosha, WI. CHILDREN'S HEALTH SYSTEM, INC. NPI is 1780155275. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Urgent Care - Kenosha.

The provider's business location address is:

6809 122ND AVENUE
KENOSHA, WI
ZIP 54342-335
Phone: (262) 891-6600
Fax: (262) 891-6602

The provider's authorized official is Marc Cadieux .
The authorized official title is Corp Vp & Chief Financial Officer and has the following contact phone number (414) 266-6226.

The enumeration date for this NPI number is 12/10/2018 and was last updated on 12/26/2018.

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
1	208000000X	Pediatrics				No
2	261QU0200X	Clinic/Center	Urgent Care			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	1780155275	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: 4/28/2024

NPI Synchronization or Removal

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