Sourceone Healthcare

LBN: Source One Healthcare A Division Of Phillips Pharmacies
Sourceone Healthcare is an health care organization with primary practice located at 123 E State St , Mauston WI 53948-1344. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Source One Healthcare A Division Of Phillips Pharmacies can be contacted via phone (800) 779-1276, or through Macardy, Wayne via phone (800) 779-1276.

Contact Information

Primary practice address
123 E State St Mauston WI 53948-1344
Phone: (800) 779-1276
Fax: (608) 847-5739
Website:
Map and Directions
Authorized official contact:
Name: Macardy, Wayne
Phone: (800) 779-1276

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1205997517
LBN Legal business name Source One Healthcare A Division Of Phillips Pharmacies
DBA Doing business as Sourceone Healthcare
Authorized official Macardy, Wayne
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 12th, 2006
Last updated Nov 13th, 2007 - about 18 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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