Brotoloc South, Inc.

LBN: Brotoloc South, Inc.
Brotoloc South, Inc. is an health care organization with primary practice located at 209 S Taft St , Whitewater WI 53190-2139. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Brotoloc South, Inc. can be contacted via phone (262) 473-0480, or through Schneider, Nancy via phone (262) 473-0480.

Contact Information

Primary practice address
209 S Taft St Whitewater WI 53190-2139
Phone: (262) 473-0480
Fax: (262) 473-0484
Website:
Map and Directions
Authorized official contact:
Name: Schneider, Nancy
Phone: (262) 473-0480

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1115 Wisconsin

Profile Details

NPI number 1407185325
LBN Legal business name Brotoloc South, Inc.
DBA Doing business as
Authorized official Schneider, Nancy
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 24th, 2009
Last updated Apr 15th, 2010 - about 15 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 1407185325 NPPES
Wisconsin MEDICAID 42181100

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