Prohealth Care Medical Associates

LBN: Waukesha Health Care Inc
Prohealth Care Medical Associates is an health care organization with primary practice located at N4W22370 Bluemound Rd , Waukesha WI 53186-1683. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Waukesha Health Care Inc can be contacted via phone (262) 928-4880, or through Lyons, Jim via phone (262) 928-7636.

Contact Information

Primary practice address
N4W22370 Bluemound Rd Waukesha WI 53186-1683
Phone: (262) 928-4880
Fax: (262) 547-8820
Website:
Map and Directions
Authorized official contact:
Name: Lyons, Jim
Phone: (262) 928-7636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1194866962
LBN Legal business name Waukesha Health Care Inc
DBA Doing business as Prohealth Care Medical Associates
Authorized official Lyons, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated May 19th, 2011 - about 14 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 1194866962 NPPES
Wisconsin MEDICAID 32851800

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