Baycare Clinic, Llp

LBN: Baycare Clinic, Llp
Baycare Clinic, Llp is an health care organization with primary practice located at 2401 Holmgren Way , Green Bay WI 54304-5224. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Baycare Clinic, Llp can be contacted via phone (920) 497-0003, or through Augustian, Chris Jay via phone (920) 405-5382.

Contact Information

Primary practice address
2401 Holmgren Way Green Bay WI 54304-5224
Phone: (920) 497-0003
Fax: (920) 497-0024
Website:
Map and Directions
Authorized official contact:
Name: Augustian, Chris Jay C.P.A
Phone: (920) 405-5382

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Wisconsin

Profile Details

NPI number 1285908970
LBN Legal business name Baycare Clinic, Llp
DBA Doing business as
Authorized official Augustian, Chris Jay C.P.A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2012
Last updated Apr 13th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285908970 NPPES
Wisconsin MEDICAID 1588609648

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