Vivent Health Inc

LBN: Vivent Health Inc
Vivent Health Inc is an health care organization with primary practice located at 1212 57Th St , Kenosha WI 53140-4069. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Vivent Health Inc can be contacted via phone (262) 657-6644, or through Dyer, Tim via phone (414) 225-1611.

Contact Information

Primary practice address
1212 57Th St Kenosha WI 53140-4069
Phone: (262) 657-6644
Fax: (262) 657-6949
Website:
Map and Directions
Authorized official contact:
Name: Dyer, Tim
Phone: (414) 225-1611

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1841584232
LBN Legal business name Vivent Health Inc
DBA Doing business as
Authorized official Dyer, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2011
Last updated May 12th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841584232 NPPES
Wisconsin MEDICAID 42228200

Popular Providers