Operation Fresh Start

LBN: Operation Fresh Start
Operation Fresh Start is an health care organization with primary practice located at 1925 Winnebago St , Madison WI 53704-5314. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Operation Fresh Start can be contacted via phone (608) 244-4721, or through Sanders, Jim via phone (608) 244-4721.

Contact Information

Primary practice address
1925 Winnebago St Madison WI 53704-5314
Fax: (608) 244-8162
Website:
Authorized official contact:
Name: Sanders, Jim MS, LPC

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 70968030 Wisconsin

Profile Details

NPI number 1841466208
LBN Legal business name Operation Fresh Start
DBA Doing business as
Authorized official Sanders, Jim MS, LPC
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 16 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 1841466208 NPPES
Wisconsin Other 41868000 MEDICARE PROVIDER CERTIFICATION

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