Martin Luther King Heritage Health Center

LBN: Milwaukee Health Services, Inc.
Martin Luther King Heritage Health Center is an health care organization with primary practice located at 2555 N Martin Luther King Dr , Milwaukee WI 53212-2709. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Milwaukee Health Services, Inc. can be contacted via phone (414) 267-3702, or through Izard, Tito L via phone (414) 372-8080.

Contact Information

Primary practice address
2555 N Martin Luther King Dr Milwaukee WI 53212-2709
Fax: (414) 562-8084
Website:
Authorized official contact:
Name: Izard, Tito L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 8681-42 Wisconsin

Profile Details

NPI number 1821028887
LBN Legal business name Milwaukee Health Services, Inc.
DBA Doing business as Martin Luther King Heritage Health Center
Authorized official Izard, Tito L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 7th, 2015 - about 9 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 1821028887 NPPES
Wisconsin MEDICAID 32958200
Wisconsin MEDICAID 36228200

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