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VIVENT HEALTH INC NPI 1982654091


NPI Information

NPI: 1982654091
Provider Name: VIVENT HEALTH INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 26D2244117

Address:
1311 N 6TH ST
MILWAUKEE, WI
ZIP 53212
Phone: (866) 525-5484
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VIVENT HEALTH INC is a clinic center in Milwaukee, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VIVENT HEALTH INC NPI is 1982654091. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1311 N 6TH ST
MILWAUKEE, WI
ZIP 53212-006
Phone: (866) 525-5484

The provider's authorized official is Joann Berk .
The authorized official title is Sr. Director Of Corporate Services and has the following contact phone number (414) 225-1568.

The CLIA number assigned to this NPI record is 26D2244117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 4/4/2024.


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
1207Q00000XFamily MedicineNo
2251B00000XCase ManagementNo
3261Q00000XClinic/CenterYes
4261QD0000XClinic/CenterDentalNo
5261QH0100XClinic/CenterHealth ServiceNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

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
132895000MEDICAIDWISCONSIN
242228200MEDICAIDWISCONSIN
338390700MEDICAIDWISCONSIN
443089200MEDICAIDWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.