Roundys

LBN: Roundys
Roundys is an health care organization with primary practice located at 36903 E Wisconsin Ave , Oconomowoc WI 53066-3144. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Roundys can be contacted via phone (262) 567-7938, or through Lincoln, Susan Jay via phone (262) 567-7938.

Contact Information

Primary practice address
36903 E Wisconsin Ave Oconomowoc WI 53066-3144
Fax: (262) 567-7994
Website:
Authorized official contact:
Name: Lincoln, Susan Jay R.PH

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X R9740-40 Wisconsin

Profile Details

NPI number 1215302773
LBN Legal business name Roundys
DBA Doing business as
Authorized official Lincoln, Susan Jay R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2015
Last updated Dec 9th, 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 1215302773 NPPES
Wisconsin MEDICAID 36229900

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