River'S Shore Comprehensive Treatment Center

LBN: Milwaukee Health Services System, Llc
River'S Shore Comprehensive Treatment Center is an health care organization with primary practice located at 3707 N. Richards Street , Milwaukee WI 53212-1673. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Milwaukee Health Services System, Llc can be contacted via phone (414) 967-7012, or through Farley, Brian Phillip via phone (615) 861-6000.

Contact Information

Primary practice address
3707 N. Richards Street Milwaukee WI 53212-1673
Fax: (414) 967-7020
Website:
Authorized official contact:
Name: Farley, Brian Phillip

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 1643 Wisconsin
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1643 Wisconsin

Profile Details

NPI number 1649326737
LBN Legal business name Milwaukee Health Services System, Llc
DBA Doing business as River'S Shore Comprehensive Treatment Center
Authorized official Farley, Brian Phillip
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 25th, 2007
Last updated Aug 14th, 2023 - about last year

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 1649326737 NPPES
Wisconsin MEDICAID 42030400

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