Green Bay Heartcare S.C.

LBN: Green Bay Heartcare S.C.
Green Bay Heartcare S.C. is an health care organization with primary practice located at 1727 Shawano Ave Suite 201, Green Bay WI 54303-3268. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Green Bay Heartcare S.C. can be contacted via phone (920) 496-8877, or through Fergus, Peter A. via phone (920) 496-8877.

Contact Information

Primary practice address
1727 Shawano Ave Suite 201 Green Bay WI 54303-3268
Phone: (920) 496-8877
Fax: (920) 496-3061
Website:
Map and Directions
Authorized official contact:
Name: Fergus, Peter A. Doctor of Medicine (MD)
Phone: (920) 496-8877

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1306816574
LBN Legal business name Green Bay Heartcare S.C.
DBA Doing business as
Authorized official Fergus, Peter A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306816574 NPPES
Wisconsin MEDICAID 32864300

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