Innovation Alliance Ipa Llc

LBN: Innovation Alliance Ipa Llc
Innovation Alliance Ipa Llc is an health care organization with primary practice located at 2105 E Enterprise Ave Suite 101, Appleton WI 54913-7862. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Managed Care Organizations / Preferred Provider Organization. Other Service Providers / Specialist is the primary health care specialty. Innovation Alliance Ipa Llc can be contacted via phone (920) 560-1100, or through Kubiak, Curt via phone (920) 560-1001.

Contact Information

Primary practice address
2105 E Enterprise Ave Suite 101 Appleton WI 54913-7862
Phone: (920) 560-1100
Fax: (920) 560-1112
Website:
Map and Directions
Authorized official contact:
Name: Kubiak, Curt
Phone: (920) 560-1001

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1831547397
LBN Legal business name Innovation Alliance Ipa Llc
DBA Doing business as
Authorized official Kubiak, Curt
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2016
Last updated Dec 6th, 2023 - about 3 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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