Family Service Of Racine
LBN: Family Service Of Racine
Family Service Of Racine is an health care organization with primary practice located at 420 7Th Street , Racine WI 53403-1222. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Family Service Of Racine can be contacted via phone (262) 634-2391, or through Oatsvall, Katie L. via phone (262) 634-2391.
Contact Information
Primary practice address
420 7Th Street
Racine WI 53403-1222
Phone: (262) 634-2391
Fax: (262) 634-5342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1339 | Wisconsin |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1467419200 |
|---|---|
| LBN Legal business name | Family Service Of Racine |
| DBA Doing business as | |
| Authorized official | Oatsvall, Katie L. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jun 26th, 2020 - about 5 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 | 1467419200 | NPPES |
| Wisconsin | MEDICAID | 42128100 |
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