Children'S Service Society Of Wisconsin

LBN: Children'S Service Society Of Wisconsin
Children'S Service Society Of Wisconsin is an health care organization with primary practice located at 8207 22Nd Ave Suite 155, Kenosha WI 53143-6211. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Children'S Service Society Of Wisconsin can be contacted via phone (262) 652-5522, or through Oerter, Tracy via phone (414) 266-2912.

Contact Information

Primary practice address
8207 22Nd Ave Suite 155 Kenosha WI 53143-6211
Phone: (262) 652-5522
Fax: (262) 652-7228
Website:
Map and Directions
Authorized official contact:
Name: Oerter, Tracy
Phone: (414) 266-2912

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1821262684
LBN Legal business name Children'S Service Society Of Wisconsin
DBA Doing business as
Authorized official Oerter, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated Dec 5th, 2013 - about 11 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 1821262684 NPPES
Wisconsin MEDICAID 42210200

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