Mendota Mental Health Institute

LBN: State Of Wisconsin
Mendota Mental Health Institute is an health care organization with primary practice located at 301 Troy Dr , Madison WI 53704-1521. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. State Of Wisconsin can be contacted via phone (608) 301-1000, or through Van Rybroeck, Greg J via phone (608) 301-1042.

Contact Information

Primary practice address
301 Troy Dr Madison WI 53704-1521
Phone: (608) 301-1000
Fax: (608) 301-1390
Website:
Map and Directions
Authorized official contact:
Name: Van Rybroeck, Greg J PHD JD
Phone: (608) 301-1042

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 283Q00000X Wisconsin

Profile Details

NPI number 1437253648
LBN Legal business name State Of Wisconsin
DBA Doing business as Mendota Mental Health Institute
Authorized official Van Rybroeck, Greg J PHD JD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Jun 26th, 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 1437253648 NPPES
Wisconsin MEDICAID 10063400

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