St. Charles

LBN: St. Charles
St. Charles is an health care organization with primary practice located at 4757 N 76Th St , Milwaukee WI 53218-4732. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. St. Charles can be contacted via phone (414) 358-4145, or through Dibb, Katherine Anna via phone (414) 358-5381.

Contact Information

Primary practice address
4757 N 76Th St Milwaukee WI 53218-4732
Phone: (414) 358-4145
Fax: (414) 358-5002
Website:
Map and Directions
Authorized official contact:
Name: Dibb, Katherine Anna 15361131
Phone: (414) 358-5381

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 15361131 Wisconsin

Profile Details

NPI number 1376718320
LBN Legal business name St. Charles
DBA Doing business as
Authorized official Dibb, Katherine Anna 15361131
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 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 1376718320 NPPES
Wisconsin MEDICAID 3918300

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