Medicaid

LBN: Medicaid
Medicaid is an health care organization with primary practice located at 1125 Geneva Rd , Menasha WI 54952-1505. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Nursing Care, Pediatric. Nursing & Custodial Care Facilities / Custodial Care Facility is the primary health care specialty. Medicaid can be contacted via phone (920) 450-8323, or through Farragh, Lori Ann via phone (920) 450-8323.

Contact Information

Primary practice address
1125 Geneva Rd Menasha WI 54952-1505
Phone: (920) 450-8323
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farragh, Lori Ann
Phone: (920) 450-8323

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X Wisconsin
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X Wisconsin

Profile Details

NPI number 1336109776
LBN Legal business name Medicaid
DBA Doing business as
Authorized official Farragh, Lori Ann
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 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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