Red Road House

LBN: Red Road House
Red Road House is an health care organization with primary practice located at 152 S Locust St , Janesville WI 53548-3767. The organization recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as the primary health care specialty. Red Road House can be contacted via phone (608) 756-9252, or through Grahn, William via phone (608) 756-2592.

Contact Information

Primary practice address
152 S Locust St Janesville WI 53548-3767
Phone: (608) 756-9252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grahn, William
Phone: (608) 756-2592

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X Wisconsin

Profile Details

NPI number 1023527769
LBN Legal business name Red Road House
DBA Doing business as
Authorized official Grahn, William
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2017
Last updated Jun 11th, 2019 - about 7 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 1023527769 NPPES
Wisconsin Other 0016168 STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES

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