(Eca Outpt)
LBN: Clinicare Corporation
(Eca Outpt) is an health care organization with primary practice located at 550 N Dewey St , Eau Claire WI 54703-3218. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Clinicare Corporation can be contacted via phone (715) 834-6681, or through Albrent, Charles Lee via phone (715) 834-6681.
Contact Information
Primary practice address
550 N Dewey St
Eau Claire WI 54703-3218
Phone: (715) 834-6681
Fax: (715) 834-9954
Website:
Authorized official contact:
Name: Albrent, Charles Lee Master of Public Administration (MPA)
Phone: (715) 834-6681
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | 560002 | Wisconsin |
Profile Details
| NPI number | 1669648523 |
|---|---|
| LBN Legal business name | Clinicare Corporation |
| DBA Doing business as | (Eca Outpt) |
| Authorized official | Albrent, Charles Lee Master of Public Administration (MPA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2008 |
| Last updated | Jun 26th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669648523 | NPPES |
| Wisconsin | MEDICAID | 42226800 |
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