Green Bay Road Medical Services Inc

LBN: Green Bay Road Medical Services Inc
Green Bay Road Medical Services Inc is an health care organization with primary practice located at 6127 Green Bay Road Suite 600, Kenosha WI 53142-2930. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Green Bay Road Medical Services Inc can be contacted via phone (262) 653-9221, or through Matteucci, John C. via phone (262) 653-9221.

Contact Information

Primary practice address
6127 Green Bay Road Suite 600 Kenosha WI 53142-2930
Phone: (262) 653-9221
Fax: (262) 653-9229
Website:
Map and Directions
Authorized official contact:
Name: Matteucci, John C. Doctor of Medicine (MD)
Phone: (262) 653-9221

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1104131960
LBN Legal business name Green Bay Road Medical Services Inc
DBA Doing business as
Authorized official Matteucci, John C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2010
Last updated Aug 17th, 2010 - about 14 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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