Olsen Medical Clinic
LBN: Methodist Manor Health Center, Inc.
Olsen Medical Clinic is an health care organization with primary practice located at 8520 W Oklahoma Ave , West Allis WI 53227-4604. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Health Service is the primary health care specialty.
Methodist Manor Health Center, Inc. can be contacted via phone (414) 607-4291, or through Enlund, James via phone (414) 607-4100.
Contact Information
Primary practice address
8520 W Oklahoma Ave
West Allis WI 53227-4604
Phone: (414) 607-4291
Fax: (414) 607-4530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | Wisconsin | |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Wisconsin | |
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | Wisconsin | |
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X | Wisconsin | |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | Wisconsin | |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | Wisconsin | |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | Wisconsin | |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | Wisconsin | |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | Wisconsin | |
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X | Wisconsin |
Profile Details
| NPI number | 1538136254 |
|---|---|
| LBN Legal business name | Methodist Manor Health Center, Inc. |
| DBA Doing business as | Olsen Medical Clinic |
| Authorized official | Enlund, James |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Apr 8th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538136254 | NPPES |
| Wisconsin | MEDICAID | 32865700 |
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