Procare Medical Group Sc

LBN: Procare Medical Group Sc
Procare Medical Group Sc is an health care organization with primary practice located at 3727 W Wisconsin Ave , Milwaukee WI 53208-3182. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Procare Medical Group Sc can be contacted via phone (414) 291-2626, or through Valle, Rosalina via phone (414) 291-2624.

Contact Information

Primary practice address
3727 W Wisconsin Ave Milwaukee WI 53208-3182
Phone: (414) 291-2626
Fax: (414) 291-2630
Website:
Map and Directions
Authorized official contact:
Name: Valle, Rosalina
Phone: (414) 291-2624

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X Wisconsin

Profile Details

NPI number 1922164656
LBN Legal business name Procare Medical Group Sc
DBA Doing business as
Authorized official Valle, Rosalina
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Sep 23rd, 2021 - about 3 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 1922164656 NPPES
Wisconsin MEDICAID 32808100

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