Gerald L. Ignace Indian Health Center, Inc.
LBN: Gerald L. Ignace Indian Health Center, Inc.
Gerald L. Ignace Indian Health Center, Inc. is an health care organization with primary practice located at 930 W Historic Mitchell St , Milwaukee WI 53204-3533. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Gerald L. Ignace Indian Health Center, Inc. can be contacted via phone (414) 383-9526, or through Ignace, Lyle A. via phone (414) 383-9526.
Contact Information
Primary practice address
930 W Historic Mitchell St
Milwaukee WI 53204-3533
Phone: (414) 383-9526
Fax: (414) 649-6711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1023064086 |
|---|---|
| LBN Legal business name | Gerald L. Ignace Indian Health Center, Inc. |
| DBA Doing business as | |
| Authorized official | Ignace, Lyle A. M.D., M.P.H. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Mar 13th, 2020 - about 4 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 | 1023064086 | NPPES |
| Wisconsin | Other | 093488131 | CHAMPUS |
| Wisconsin | MEDICAID | 32957100 | CHAMPUS |
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