Brotoloc South, Inc.

LBN: Brotoloc South, Inc.
Brotoloc South, Inc. is an health care organization with primary practice located at 5812 W Burnham St , West Allis WI 53219-1524. 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 (414) 543-3200, or through Sveda, Doug E via phone (414) 543-3200.

Contact Information

Primary practice address
5812 W Burnham St West Allis WI 53219-1524
Phone: (414) 543-3200
Fax: (414) 543-3269
Website:
Map and Directions
Authorized official contact:
Name: Sveda, Doug E
Phone: (414) 543-3200

Health care specialties

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

Profile Details

NPI number 1982933503
LBN Legal business name Brotoloc South, Inc.
DBA Doing business as
Authorized official Sveda, Doug E
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 10th, 2009
Last updated Apr 26th, 2010 - about 14 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 1982933503 NPPES
Wisconsin MEDICAID 42207400

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