Ihc-St. Elizabeth Emergency Physicians, Llc

LBN: Ihc-St. Elizabeth Emergency Physicians, Llc
Ihc-St. Elizabeth Emergency Physicians, Llc is an health care organization with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Ihc-St. Elizabeth Emergency Physicians, Llc can be contacted via phone (414) 290-6718, or through Kondas, Kathy via phone (954) 838-2371.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Phone: (414) 290-6718
Fax: (414) 290-6755
Website:
Map and Directions
Authorized official contact:
Name: Kondas, Kathy
Phone: (954) 838-2371

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1851349674
LBN Legal business name Ihc-St. Elizabeth Emergency Physicians, Llc
DBA Doing business as
Authorized official Kondas, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Sep 16th, 2019 - about 6 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 1851349674 NPPES
Wisconsin MEDICAID 21287000
Wisconsin Other 140006669
Wisconsin Other 610475600
Wisconsin Other 610475600

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